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LOGAN FAMILY CHIROPRACTIC & REHABILITATION CENTER NPI 1982804175


NPI Information

NPI: 1982804175
Provider Name: LOGAN FAMILY CHIROPRACTIC & REHABILITATION CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
751 STATE ROUTE 664 N UNIT D
LOGAN, OH
ZIP 43138
Phone: (740) 385-4141
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LOGAN FAMILY CHIROPRACTIC & REHABILITATION CENTER is a chiropractor in Logan, OH. 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. LOGAN FAMILY CHIROPRACTIC & REHABILITATION CENTER NPI is 1982804175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

751 STATE ROUTE 664 N UNIT D
LOGAN, OH
ZIP 43138-250
Phone: (740) 385-4141
Fax: (740) 385-3838

The provider's authorized official is Christian Ernest Gedeon .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (740) 385-4141.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 10/14/2019.


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
1111N00000XChiropractor3158OHIOYes

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
12314070MEDICAIDOHIO

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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