Provider Demographics
NPI:1881976363
Name:ADKINS, JOE II
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:
Last Name:ADKINS
Suffix:II
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 1:2401 NW 39TH EXPY STE 103
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-8739
Mailing Address - Country:US
Mailing Address - Phone:405-557-1655
Mailing Address - Fax:
Practice Address - Street 1:2401 NW 39TH EXPY STE 103
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-8739
Practice Address - Country:US
Practice Address - Phone:405-557-1655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst