Provider Demographics
NPI:1427248236
Name:ADONAI CHIROPRACTIC INC
Entity type:Organization
Organization Name:ADONAI CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:PERSCHKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-886-6046
Mailing Address - Street 1:1110 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-2077
Mailing Address - Country:US
Mailing Address - Phone:270-886-6046
Mailing Address - Fax:270-886-6046
Practice Address - Street 1:1110 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-2077
Practice Address - Country:US
Practice Address - Phone:270-886-6046
Practice Address - Fax:270-886-6046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU86409Medicare UPIN
OHAD9356371Medicare PIN