Provider Demographics
NPI:1528308475
Name:WADEL, ADAM BAXTER (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BAXTER
Last Name:WADEL
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 1:195 WHITING ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3717
Mailing Address - Country:US
Mailing Address - Phone:781-775-7583
Mailing Address - Fax:
Practice Address - Street 1:195 WHITING ST
Practice Address - Street 2:SUITE 3
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3717
Practice Address - Country:US
Practice Address - Phone:781-775-7583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor