Provider Demographics
NPI:1679682793
Name:ADKINS, RONNIE M (DC)
Entity Type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:M
Last Name:ADKINS
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 1:157 KEVELING DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1197
Mailing Address - Country:US
Mailing Address - Phone:734-429-2410
Mailing Address - Fax:734-429-2411
Practice Address - Street 1:157 KEVELING DR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1197
Practice Address - Country:US
Practice Address - Phone:734-429-2410
Practice Address - Fax:734-429-2411
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950H15042OtherBLUE CROSS BLUE SHIELD
MIT33642Medicare UPIN
MI950H15042OtherBLUE CROSS BLUE SHIELD