Provider Demographics
NPI:1528371713
Name:LENGERICH, ADAM STEVEN (DC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:STEVEN
Last Name:LENGERICH
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 1:809 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IN
Mailing Address - Zip Code:46733-1121
Mailing Address - Country:US
Mailing Address - Phone:260-724-9500
Mailing Address - Fax:260-724-9502
Practice Address - Street 1:822 W MONROE ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IN
Practice Address - Zip Code:46733-1525
Practice Address - Country:US
Practice Address - Phone:260-724-9500
Practice Address - Fax:260-724-9502
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002531A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor