Provider Demographics
NPI:1477581874
Name:FRIEDMAN, ADAM JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JAY
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12575 ROCKSIDE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-4548
Mailing Address - Country:US
Mailing Address - Phone:216-475-5005
Mailing Address - Fax:216-475-5115
Practice Address - Street 1:12575 ROCKSIDE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-4548
Practice Address - Country:US
Practice Address - Phone:216-475-5005
Practice Address - Fax:216-475-5115
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3725111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor