Provider Demographics
NPI:1427387018
Name:MARTIN J ADAMS DC PC INC
Entity Type:Organization
Organization Name:MARTIN J ADAMS DC PC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-531-7818
Mailing Address - Street 1:2735 N HOLLAND SYLVANIA RD STE B1
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1844
Mailing Address - Country:US
Mailing Address - Phone:419-531-7818
Mailing Address - Fax:
Practice Address - Street 1:2735 N HOLLAND SYLVANIA RD STE B1
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1844
Practice Address - Country:US
Practice Address - Phone:419-531-7818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAD0543983Medicare PIN