Michael Thomas Logiudice in Salem - Sports Physician
Michael Thomas Logiudice - NPI 1972785921
Michael Thomas Logiudice is a Sports Physician in Salem, Oregon. Michael Thomas Logiudice practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Michael Thomas Logiudice is 1972785921. The last update date is 2022-06-14.
Michael Thomas Logiudice's current location address is 1640 Lancaster Dr Ne, Salem, Oregon. You can contact this provider via phone number 5033397351 and fax number 5035752417. The mailing address for Michael Thomas Logiudice is 1640 Lancaster Dr Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Thomas Logiudice |
|---|---|
| Address | 1640 Lancaster Dr Ne, Salem, Oregon |
| Phone Number | 5033397351 |
| Fax Number | 5035752417 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1972785921 |
|---|---|
| Provider Enumeration Date | 2007-12-01 |
| Last Updated Date | 2022-06-14 |
Provider Mailing Address Detail
| Address | 1640 Lancaster Dr Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973011922 |
| Phone Number | 5033397351 |
| Fax Number | 5035752417 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 3773 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique provider identifier assigned to Michael Thomas Logiudice?
The Michael Thomas Logiudice has been issued the NPI (National Provider Identifier) 1972785921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Michael Thomas Logiudice is geographically located?
The Michael Thomas Logiudice is physically situated at the following location: 1640 Lancaster Dr Ne, Salem, OR, 973011922.
What is Michael Thomas Logiudice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Thomas Logiudice's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972785921 to Michael Thomas Logiudice?
The Michael Thomas Logiudice received its 1972785921 assignment from the Centers for Medicare & Medicaid Services on 2007-12-01.
As of what date were the Michael Thomas Logiudice's details last updated?
The information pertaining to the Michael Thomas Logiudice, including its address, specialty, and other details, was most recently updated on 2022-06-14.
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