Provider Demographics
NPI:1003945874
Name:ADKINS CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:ADKINS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:601-591-4141
Mailing Address - Street 1:210 WOODGATE DR S STE D
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-2415
Mailing Address - Country:US
Mailing Address - Phone:601-591-4141
Mailing Address - Fax:601-591-4131
Practice Address - Street 1:210 WOODGATE DR S STE D
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-2415
Practice Address - Country:US
Practice Address - Phone:601-591-4141
Practice Address - Fax:601-591-4131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00124467Medicaid
MS09122334Medicaid
MSC03090Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
MS00124467Medicaid