Provider Demographics
NPI:1528184884
Name:ADKINS, ANTHONY LEE SR (HHA)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:LEE
Last Name:ADKINS
Suffix:SR
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1325
Mailing Address - Street 2:
Mailing Address - City:LUCASVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45648
Mailing Address - Country:US
Mailing Address - Phone:740-259-2342
Mailing Address - Fax:740-259-4429
Practice Address - Street 1:146 JACKSON ST.
Practice Address - Street 2:
Practice Address - City:LUCASVILLE
Practice Address - State:OH
Practice Address - Zip Code:45648
Practice Address - Country:US
Practice Address - Phone:740-259-2342
Practice Address - Fax:740-259-4429
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)