Provider Demographics
NPI:1891021978
Name:ARMBRUSTER, ADAM JAMES
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JAMES
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3402
Mailing Address - Country:US
Mailing Address - Phone:810-989-7429
Mailing Address - Fax:810-989-2001
Practice Address - Street 1:1002 10TH AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3402
Practice Address - Country:US
Practice Address - Phone:810-989-7429
Practice Address - Fax:810-989-2001
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI111NN0000X111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor