Provider Demographics
NPI:1861876997
Name:ADIO CHIROPRACTIC INC
Entity type:Organization
Organization Name:ADIO CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ADIO CHIROPRACTIC INC
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DEVIN
Authorized Official - Last Name:HINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-703-2873
Mailing Address - Street 1:PO BOX 8348
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-8348
Mailing Address - Country:US
Mailing Address - Phone:270-703-2873
Mailing Address - Fax:
Practice Address - Street 1:2405 LONE OAK RD
Practice Address - Street 2:SUITE B
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001
Practice Address - Country:US
Practice Address - Phone:270-703-2873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK053302Medicare UPIN