Provider Demographics
NPI:1710054275
Name:ADKINS, JOHN LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LAWRENCE
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 1:525 MILLTOWN RD
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3317
Mailing Address - Country:US
Mailing Address - Phone:732-545-3300
Mailing Address - Fax:732-545-8829
Practice Address - Street 1:525 MILLTOWN RD
Practice Address - Street 2:SUITE 103A
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3317
Practice Address - Country:US
Practice Address - Phone:732-545-3300
Practice Address - Fax:732-545-8829
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00568200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor