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Contact Information

MERRITT ADAMS, CADCIII
1717 TAYLOR AVE
RACINE, WI53403-2405
 Phone: 262-632-1780
 Fax: 262-632-0895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MERRITT ADAMS · (Male)

NPI Number 1013175868
Status Active
Credentials CADCIII
Entity Individual
Enumeration date 05/29/2008
Last updated 05/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 11643 1585
  • WI Medicaid 39173000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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