Basic Information
| Provider Information | |||||||||
| NPI: | 1033464615 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ADAM Z. COTE | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | AC ORTHOPEDIC SUPPLY LLC. | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9350 COTTAGE PARK | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488387202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9895846320 | ||||||||
| FaxNumber: | 9895846426 | ||||||||
| Practice Location | |||||||||
| Address1: | 423 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | CARSON CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488119741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9895846320 | ||||||||
| FaxNumber: | 9895846426 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2012 | ||||||||
| LastUpdateDate: | 07/19/2012 | ||||||||
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| AuthorizedOfficialLastName: | COTE | ||||||||
| AuthorizedOfficialFirstName: | ADAM | ||||||||
| AuthorizedOfficialMiddleName: | Z | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9895846320 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 5101016026 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.