Astle Chiropractic Clinic Inc.
Organization Active NPI Chiropractor · Logan, UT
NPI 1265616585 · NPPES record last updated Dec 21, 2007
Key facts
- NPI
- 1265616585
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 174333-1202 (UT)
- Legal business name
- ASTLE CHIROPRACTIC CLINIC INC.
- Practice address
- 112 E 100 N
Logan, UT 84321-4638 - Phone
- (435) 753-4744
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Joseph Todd Astle, DC
- Title
- Chiropractor
- Phone
- (435) 753-4744
National Provider Directory
Locations
112 E 100 N
Logan, UT 84321
Phone (435) 753-4744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 174333-1202 | UT | Yes |
Addresses
Primary practice location
112 E 100 N
Logan, UT 84321-4638
Mailing address
112 E 100 N
Logan, UT 84321-4638
Phone (435) 753-4744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8072300 | Medicaid | ID | |
| 529828970012 | Medicaid | UT |
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.