LOGAN FAMILY CHIROPRACTIC & REHABILITATION CENTER (NPI# 1982804175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982804175 |
| Entity Type | Organization |
| Organization Name | LOGAN FAMILY CHIROPRACTIC & REHABILITATION CENTER |
| Practice Address |
751 State Route 664 N Unit D Logan OH 43138-9250 |
| Mailing Address |
Po Box 29 Logan OH 43138-1831 |
| Practice Telephone | 7403854141 |
| Practice Fax Number | 7403853838 |
| Mailing Telephone | 7403854141 |
| Mailing Fax Number | 7403853838 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | DR. CHRISTIAN ERNEST GEDEON (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 7403854141 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3158 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2314070 | 05 |
| Street Address |
751 STATE ROUTE 664 N UNIT D |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-9250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950059 | Zoe Alexis Shelden | Chiropractor | 202 East 7th Street, Logan, IA 51546-1349 | 2017-09-01 |
| 1891063731 | Timothy Bailey | Chiropractor | 1260 N 200 E Ste 16, Logan, UT 84341-2382 | 2011-12-07 |
| 1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
| 1548408149 | Benjamin Benoni Jensen | Chiropractor | 944 S Highway 89, Logan, UT 84321-5436 | 2009-02-04 |
| 1760654701 | Advanced Health and Wellness Pllc | Chiropractor | 965 S 100 W Ste 105, Logan, UT 84321-6067 | 2008-03-31 |
| 1912118225 | Stephanie A Hoglund | Chiropractor | 1300 N 200 E Ste 110, Logan, UT 84341-1866 | 2007-05-25 |
| 1750464400 | Christian Ernest Gedeon | Chiropractor | 12886 Grey St, Logan, OH 43138-1831 | 2006-10-23 |
| 1386725190 | Evan J Lefevre | Chiropractor | 1415 N 400 E, Suite A, Logan, UT 84341-7539 | 2006-10-18 |
| 1871506097 | Hill Chiropractic Center, Inc | Chiropractor | 101 Lb and T Way, Logan, WV 25601-3485 | 2006-08-15 |
| 1154366490 | Keith Allen Taulbee | Chiropractor | 75 W 2nd St, Logan, OH 43138-1886 | 2006-06-19 |
| Find all providers in LOGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.