Provider Demographics
NPI:1992459838
Name:SOBILO, ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:SOBILO
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 1:17 FARMINGTON AVE STE B1
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-1774
Mailing Address - Country:US
Mailing Address - Phone:860-479-1470
Mailing Address - Fax:860-254-1139
Practice Address - Street 1:17 FARMINGTON AVE STE B1
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-1774
Practice Address - Country:US
Practice Address - Phone:860-479-1470
Practice Address - Fax:860-254-1139
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor