1972653897 NPI number — ADAM L MADAY DC

Table of content: (NPI 1467411082)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972653897 NPI number — ADAM L MADAY DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MADAY
Provider First Name:
ADAM
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972653897
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2006 FOULK RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19810-3644
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-529-8783
Provider Business Mailing Address Fax Number:
302-529-1586

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 BANNING ST
Provider Second Line Business Practice Location Address:
SUITE 350
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19904-3485
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-730-8848
Provider Business Practice Location Address Fax Number:
302-730-8846
Provider Enumeration Date:
01/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111NR0400X , with the licence number:  FI-0000589 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1466217 . This is a "CIGNA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 2272865000 . This is a "AMERIHEALTH HMO" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 273482 . This is a "COVENTRY" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1595396 . This is a "AMERIHEALTH PPO" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 3886606CHI . This is a "BC AND BS" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 664630 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 293724 . This is a "MAMSI" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




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