Provider Demographics
NPI:1558501155
Name:VINCENT G ADAMO PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:VINCENT G ADAMO PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADAMO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-579-1068
Mailing Address - Street 1:820 JAMACHA RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-3205
Mailing Address - Country:US
Mailing Address - Phone:619-579-1068
Mailing Address - Fax:619-579-5014
Practice Address - Street 1:820 JAMACHA RD
Practice Address - Street 2:SUITE 103
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-3205
Practice Address - Country:US
Practice Address - Phone:619-579-1068
Practice Address - Fax:619-579-5014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty