Mark Anthony Logullo in Middletown - Chiropractor
Mark Anthony Logullo - NPI 1528110079
Mark Anthony Logullo is a Chiropractor in Middletown, Delaware. Mark Anthony Logullo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Anthony Logullo is 1528110079. The last update date is 2007-07-08.
Mark Anthony Logullo's current location address is 600 N Broad St, Middletown, Delaware. You can contact this provider via phone number 3023785441 and fax number 3023783452. The mailing address for Mark Anthony Logullo is 600 N Broad St, Middletown, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Logullo |
|---|---|
| Address | 600 N Broad St, Middletown, Delaware |
| Phone Number | 3023785441 |
| Fax Number | 3023783452 |
| Sole Proprietor | N |
| Credentials | D,C. |
NPI Number Detail
| NPI Number | 1528110079 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 600 N Broad St |
|---|---|
| City | Middletown |
| State | Delaware (DE) |
| Post Code | 197091032 |
| Phone Number | 3023785441 |
| Fax Number | 3023783452 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1999210007 |
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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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What is the unique 10-digit identifier code issued to Mark Anthony Logullo by the Centers for Medicare & Medicaid Services?
The Mark Anthony Logullo has been assigned the NPI (National Provider Identifier) 1528110079 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mark Anthony Logullo located?
The Mark Anthony Logullo is located at 600 N Broad St, Middletown, DE 197091032.
What is Mark Anthony Logullo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Anthony Logullo's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When was the Mark Anthony Logullo's 1528110079 issued?
The Mark Anthony Logullo's 1528110079 was issued on 2007-01-17.
As of what date was the information regarding Mark Anthony Logullo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Anthony Logullo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.