David Timothy Adams
Individual provider Active NPI Counselor · Palmer, AK
NPI 1346965787 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1346965787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 3650 N Campbell Rd
Palmer, AK 99645-5729 - Phone
- (907) 738-6021
- NPI assigned
- Oct 7, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
3650 N Campbell Rd
Palmer, AK 99645-5729
Mailing address
3650 N Campbell Rd
Palmer, AK 99645-5729
Phone (907) 738-6021
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.