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ASTLE CHIROPRACTIC CLINIC INC. NPI 1265616585


NPI Information

NPI: 1265616585
Provider Name: ASTLE CHIROPRACTIC CLINIC INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
112 E 100 N
LOGAN, UT
ZIP 84321
Phone: (435) 753-4744
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ASTLE CHIROPRACTIC CLINIC INC. is a chiropractor in Logan, UT. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ASTLE CHIROPRACTIC CLINIC INC. NPI is 1265616585. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

112 E 100 N
LOGAN, UT
ZIP 84321-638
Phone: (435) 753-4744

The provider's authorized official is Joseph Todd Astle .
The authorized official title is Chiropractor and has the following contact phone number (435) 753-4744.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 12/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor174333-1202UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18072300MEDICAIDIDAHO
2529828970012MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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