Provider Demographics
NPI:1861248304
Name:ADAMS UNBROKEN BODY CHIROPRACTIC INC.
Entity type:Organization
Organization Name:ADAMS UNBROKEN BODY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-375-5258
Mailing Address - Street 1:2190 MERIDIAN PARK BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5715
Mailing Address - Country:US
Mailing Address - Phone:925-375-5258
Mailing Address - Fax:925-954-6927
Practice Address - Street 1:2190 MERIDIAN PARK BLVD STE E
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5715
Practice Address - Country:US
Practice Address - Phone:925-375-5258
Practice Address - Fax:925-954-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty