Provider Demographics
NPI:1972599108
Name:ADAMS, JAY CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:CHRISTOPHER
Last Name:ADAMS
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 1:1124 N HOLLYWOOD WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2527
Mailing Address - Country:US
Mailing Address - Phone:818-841-8393
Mailing Address - Fax:818-841-7159
Practice Address - Street 1:1124 N HOLLYWOOD WAY
Practice Address - Street 2:SUITE A
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2527
Practice Address - Country:US
Practice Address - Phone:818-841-8393
Practice Address - Fax:818-841-7159
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC14867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT17915Medicare UPIN