Provider Demographics
NPI:1487668570
Name:PAISO, ADAM CHRISTIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:CHRISTIAN
Last Name:PAISO
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 1:379 S LIVERMORE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4680
Mailing Address - Country:US
Mailing Address - Phone:925-443-0844
Mailing Address - Fax:925-443-0844
Practice Address - Street 1:379 S LIVERMORE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4680
Practice Address - Country:US
Practice Address - Phone:925-443-0844
Practice Address - Fax:925-443-0844
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor