Provider Demographics
NPI:1770802605
Name:BILL ADAMS' MARTIAL ARTS, INC
Entity type:Organization
Organization Name:BILL ADAMS' MARTIAL ARTS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-668-5005
Mailing Address - Street 1:3211 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:ELMA
Mailing Address - State:NY
Mailing Address - Zip Code:14059-9639
Mailing Address - Country:US
Mailing Address - Phone:716-668-5004
Mailing Address - Fax:716-668-5005
Practice Address - Street 1:3211 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059-9639
Practice Address - Country:US
Practice Address - Phone:716-668-5004
Practice Address - Fax:716-668-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty