Cannon Chiropractic LLC
Organization Active NPI Chiropractor · North Logan, UT
NPI 1275945701 · NPPES record last updated Jun 2, 2014
Key facts
- NPI
- 1275945701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7875588-1202 (UT)
- Legal business name
- CANNON CHIROPRACTIC LLC
- Practice address
- 1635 N 200 E
North Logan, UT 84341-1913 - Phone
- (435) 755-7654
- Fax
- (435) 753-7654
- NPI assigned
- Jun 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Chad J. Cannon, D.C.
- Title
- Chiropractor
- Phone
- (435) 755-7654
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 7875588-1202 | UT | Yes |
Addresses
Primary practice location
1635 N 200 E
North Logan, UT 84341-1913
Mailing address
1635 N 200 E
North Logan, UT 84341-1913
Phone (435) 755-7654
Other names
- Stevens Chiropractic Clinic
Other providers in North Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2014. 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.