Provider Demographics
NPI:1538414040
Name:ADAMSKI, JOSEPH JAMES (SOIDC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JAMES
Last Name:ADAMSKI
Suffix:
Gender:M
Credentials:SOIDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7732 S AMES WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-7041
Mailing Address - Country:US
Mailing Address - Phone:303-886-1597
Mailing Address - Fax:
Practice Address - Street 1:7732 S AMES WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-7041
Practice Address - Country:US
Practice Address - Phone:303-886-1597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman