Provider Demographics
NPI:1245724970
Name:HOOK, ADAM CHRISTOPHER
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:CHRISTOPHER
Last Name:HOOK
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 1:201 S BLAKELY ST STE 133
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-2203
Mailing Address - Country:US
Mailing Address - Phone:570-445-8565
Mailing Address - Fax:
Practice Address - Street 1:426 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUPONT
Practice Address - State:PA
Practice Address - Zip Code:18641-1421
Practice Address - Country:US
Practice Address - Phone:570-445-8565
Practice Address - Fax:570-561-1025
Is Sole Proprietor?:No
Enumeration Date:2018-06-16
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered