Provider Demographics
NPI:1508982570
Name:ADAMS FRIENDSHIP FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ADAMS FRIENDSHIP FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-339-7062
Mailing Address - Street 1:238 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:WI
Mailing Address - Zip Code:53910-9398
Mailing Address - Country:US
Mailing Address - Phone:608-339-7062
Mailing Address - Fax:
Practice Address - Street 1:238 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:WI
Practice Address - Zip Code:53910-9398
Practice Address - Country:US
Practice Address - Phone:608-339-7062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38968800Medicaid
WI567133OtherDEAN
WI38968800Medicaid
WI567133OtherDEAN
WI38968800Medicaid