Provider Demographics
NPI:1881423440
Name:COATS, ADAM (DC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:COATS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 E 116TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3572
Mailing Address - Country:US
Mailing Address - Phone:260-449-0640
Mailing Address - Fax:
Practice Address - Street 1:1717 E 116TH ST STE 103
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3572
Practice Address - Country:US
Practice Address - Phone:260-449-0640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003212A111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor