Provider Demographics
NPI:1710610977
Name:MSCAA ENTERPRISES
Entity Type:Organization
Organization Name:MSCAA ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-631-0010
Mailing Address - Street 1:11185 WHITE ROCK RD STE C
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6989
Mailing Address - Country:US
Mailing Address - Phone:916-631-0010
Mailing Address - Fax:916-631-0020
Practice Address - Street 1:11185 WHITE ROCK RD STE C
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6989
Practice Address - Country:US
Practice Address - Phone:916-631-0010
Practice Address - Fax:916-631-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty