Provider Demographics
NPI:1578633970
Name:PROPPER, ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:PROPPER
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 1:375 POST RD W
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4741
Mailing Address - Country:US
Mailing Address - Phone:203-226-1047
Mailing Address - Fax:203-226-9134
Practice Address - Street 1:375 POST RD W
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4741
Practice Address - Country:US
Practice Address - Phone:203-226-1047
Practice Address - Fax:203-226-9134
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000606CT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT050000606CT01OtherBCBS
CT5897998OtherGHI
CTP732108OtherOXFORD HP
CT705487OtherCONNECTICARE
CT5897998OtherGHI