Provider Demographics
NPI:1871637421
Name:ADIO, INC
Entity Type:Organization
Organization Name:ADIO, INC
Other - Org Name:ADIO SPECIFIC CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRAUX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-780-8650
Mailing Address - Street 1:4365 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-2603
Mailing Address - Country:US
Mailing Address - Phone:301-780-8650
Mailing Address - Fax:
Practice Address - Street 1:4365 NORTHVIEW DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-2603
Practice Address - Country:US
Practice Address - Phone:301-780-8650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD745184900Medicaid
MD128567Medicare PIN
MD745184900Medicaid