Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH60482879 | WA |
Y | 111N00000X | Chiropractor | CHIA-1607 | ID |
N | 111N00000X | Chiropractor | CHR.0007083 | CO |
NPI | 1003212069 |
---|---|
Provider Name | Dr. Adam Kenneth Mills |
First Address | Post Falls, ID 83854-5326 |
Second Address | Coeur D Alene, ID 83815-7709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2014 |
Last Update Date | 20/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003212069 | (05) | ID |