Provider Demographics
NPI:1558709675
Name:ADAMS CHIROPRACTIC INC
Entity Type:Organization
Organization Name:ADAMS CHIROPRACTIC INC
Other - Org Name:CHIROPRACTIC 101
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-264-8564
Mailing Address - Street 1:164 NE 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-3131
Mailing Address - Country:US
Mailing Address - Phone:541-563-5581
Mailing Address - Fax:541-563-2771
Practice Address - Street 1:164 NE 6TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-3131
Practice Address - Country:US
Practice Address - Phone:541-563-5581
Practice Address - Fax:541-563-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty