Misustin Chiropractic Pc in Logan - Sports Physician
Misustin Chiropractic Pc - NPI 1801070628
Misustin Chiropractic Pc is a Sports Physician in Logan, Utah. Misustin Chiropractic Pc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Misustin Chiropractic Pc is 1801070628. The last update date is 2008-02-27.
Misustin Chiropractic Pc's current location address is 1415 N 400 E, Logan, Utah. You can contact this provider via phone number 4357532840 and fax number 4357879422. The mailing address for Misustin Chiropractic Pc is 1415 N 400 E, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Misustin Chiropractic Pc |
|---|---|
| Address | 1415 N 400 E, Logan, Utah |
| Phone Number | 4357532840 |
| Fax Number | 4357879422 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Misustin Lawrence James |
| Credentials | D.C. |
| Telephone Number | 4357532840 |
NPI Number Detail
| NPI Number | 1801070628 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 1415 N 400 E |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843417539 |
| Phone Number | 4357532840 |
| Fax Number | 4357879422 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 320260-1202 |
|
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) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 554155506001 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Misustin Chiropractic Pc by the Centers for Medicare & Medicaid Services?
The Misustin Chiropractic Pc has been assigned the NPI (National Provider Identifier) 1801070628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Misustin Chiropractic Pc is physically located?
The Misustin Chiropractic Pc is physically situated at the following address: 1415 N 400 E, Logan, UT, 843417539.
What is the Misustin Chiropractic Pc's specialty and taxonomy code?
The Misustin Chiropractic Pc's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801070628 to Misustin Chiropractic Pc?
The Centers for Medicare & Medicaid Services originally issued the 1801070628 to Misustin Chiropractic Pc on 2007-12-28.
When was the information related to Misustin Chiropractic Pc most recently updated or refreshed?
The details pertaining to the Misustin Chiropractic Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-27.
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