Provider Demographics
NPI:1336192178
Name:CLINE, ADAM BEEN (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BEEN
Last Name:CLINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 SAGAMORE PKWY W
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1445
Mailing Address - Country:US
Mailing Address - Phone:765-463-3000
Mailing Address - Fax:765-463-3000
Practice Address - Street 1:1033 SAGAMORE PKWY W
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-1445
Practice Address - Country:US
Practice Address - Phone:765-463-3000
Practice Address - Fax:765-463-3000
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002157A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200244260AMedicaid
IN222810Medicare PIN
IN200244260AMedicaid
IN250460AMedicare UPIN