Provider Demographics
NPI:1386988434
Name:ADKINS, URSULA JANE (DC)
Entity type:Individual
Prefix:DR
First Name:URSULA
Middle Name:JANE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1726
Mailing Address - Country:US
Mailing Address - Phone:515-967-3996
Mailing Address - Fax:515-967-6809
Practice Address - Street 1:705 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1726
Practice Address - Country:US
Practice Address - Phone:515-967-3996
Practice Address - Fax:515-967-6809
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor