Provider Demographics
NPI:1376624908
Name:ADAMS, DEANN LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:DEANN
Middle Name:LYNN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 562
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-0562
Mailing Address - Country:US
Mailing Address - Phone:651-249-8446
Mailing Address - Fax:
Practice Address - Street 1:16541 HAVEN RD
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-6401
Practice Address - Country:US
Practice Address - Phone:320-632-6757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3616111N00000X
ND674111N00000X
WI4141-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC03812Medicare ID - Type UnspecifiedMEDICARE GROUP # ASSIGNED
MNV03756Medicare UPIN