Charles Mark Logan in Medford - Chiropractor
Charles Mark Logan - NPI 1386865483
Charles Mark Logan is a Chiropractor in Medford, Oregon. Charles Mark Logan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Charles Mark Logan is 1386865483. The last update date is 2007-07-08.
Charles Mark Logan's current location address is 1064 E Jackson Street, Medford, Oregon. You can contact this provider via phone number 5417764554 and fax number 5417760954. The mailing address for Charles Mark Logan is 1064 E Jackson Street, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Mark Logan |
|---|---|
| Address | 1064 E Jackson Street, Medford, Oregon |
| Phone Number | 5417764554 |
| Fax Number | 5417760954 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1386865483 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1064 E Jackson Street |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 97504 |
| Phone Number | 5417764554 |
| Fax Number | 5417760954 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3440 |
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Definition: 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 inte |
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Post Comment/ Review Below
What is the Charles Mark Logan's unique identification number?
The Charles Mark Logan has been assigned the NPI (National Provider Identifier) Number 1386865483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Charles Mark Logan is geographically located?
The Charles Mark Logan is physically situated at the following location: 1064 E Jackson Street, Medford, OR, 97504.
What is the area of specialization for Charles Mark Logan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Mark Logan is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Charles Mark Logan receive the assignment of its 1386865483 from the Centers for Medicare & Medicaid Services?
The Charles Mark Logan was issued its 1386865483 by the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date was the information regarding Charles Mark Logan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Mark Logan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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