Provider Demographics
NPI:1770918252
Name:ADLAM, ARIC HERBERT (DC)
Entity type:Individual
Prefix:DR
First Name:ARIC
Middle Name:HERBERT
Last Name:ADLAM
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 1:7400 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1136
Mailing Address - Country:US
Mailing Address - Phone:301-577-6556
Mailing Address - Fax:301-577-6558
Practice Address - Street 1:7400 RIVERDALE RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1136
Practice Address - Country:US
Practice Address - Phone:301-577-6556
Practice Address - Fax:301-577-6558
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor