Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC22544 | CA |
NPI | 1003044561 |
---|---|
Provider Name | Dr. Michael Scott Adams |
First Address | Elk Grove, CA 95758-5996 |
Second Address | Elk Grove, CA 95758-5996 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2009 |
Last Update Date | 23/06/2009 |