Provider Demographics
NPI:1689860637
Name:RABINOWITZ, ADAM SAMUEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:SAMUEL
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ADAM
Other - Middle Name:SAMUEL
Other - Last Name:RABINOWITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:12351 CAPITAL BLVD
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-7425
Mailing Address - Country:US
Mailing Address - Phone:919-556-0282
Mailing Address - Fax:
Practice Address - Street 1:12351 CAPITAL BLVD
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-7425
Practice Address - Country:US
Practice Address - Phone:919-556-0282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-23
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3774111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor