Organization Active NPI

Logan Chiropractic Center

  • Clinic/Center
  • Warren, MI
National Provider Identifier
1366858102
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2301005438 Issued in MI
Legal business name
LOGAN CHIROPRACTIC CENTER
Practice address
27104 Dequindre Rd
Warren, MI 48092-3537
Phone
(586) 751-1977
NPI assigned
Jul 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bill A Logan, DCNPI 1740203405
Title
Doctor/Owner
Phone
(586) 751-1977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2301005438 MI Primary

Addresses

Primary practice location

27104 Dequindre Rd
Warren, MI 48092-3537

Mailing address

27104 Dequindre Rd
Warren, MI 48092-3537
Phone (586) 751-1977

National Provider Directory

National Provider Directory
Tax ID family
Logan Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27104 Dequindre Rd
Warren, MI 48092
Phone (586) 751-1977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1366858102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27104 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923537",
            "telephone_number": "586-751-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27104 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923537",
            "telephone_number": "586-751-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "586-751-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301005438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.