Provider Demographics
NPI:1942074232
Name:ADKINS, VICTORIA (DC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:ADKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15914 KINGSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-5704
Mailing Address - Country:US
Mailing Address - Phone:216-905-8933
Mailing Address - Fax:
Practice Address - Street 1:2855 W MARKET ST STE 201
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4034
Practice Address - Country:US
Practice Address - Phone:234-900-4150
Practice Address - Fax:234-900-4151
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC05301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty