Adams, Randall M
Adams, Randall M is an sole proprietor health care provider with primary practice located at 417 S Main St , Chippewa Falls WI 54729-3137. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Adams, Randall M can be contacted via phone (715) 723-7103.Contact Information
Primary practice address
417 S Main St
Chippewa Falls WI 54729-3137
Phone: (715) 723-7103
Fax: (715) 723-9929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2164-012 | Wisconsin |
Profile Details
| NPI number | 1134126519 |
|---|---|
| LBN Legal business name | Adams, Randall M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jul 14th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134126519 | NPPES |
| Wisconsin | MEDICAID | 38834600 |
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