Logullo Chiropractic Wellness Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0000415 Issued in DE

Legal business name

LOGULLO CHIROPRACTIC WELLNESS CENTER PA

Practice address

600 N Broad St Ste 19
Middletown, DE 19709-1032

Phone

(302) 378-5441

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Logullo, D.C.NPI 1528110079

Title

Director

Phone

(302) 378-5441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Anthony Logullo, D,C.

  • Chiropractor
  • Middletown, DE
  • NPI 1528110079
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1588947790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST STE 19",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091032",
            "telephone_number": "302-378-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST STE 19",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091032",
            "telephone_number": "302-378-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGULLO CHIROPRACTIC WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "LOGULLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-378-5441",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Ann Leverage
• Jason Landon Levin, LCSW
• Lieske E2E Home Health Care Inc (Shorecare of Delaware)
• Jessica Denise Liguori
• Bradford Daniel Logue
• Mark Anthony Logullo, D,C.
• Alaina Lindsey Ryan Long, MA CCC-SLP
• Danna Loor Santos, PA-C
• Aisha Lord, MSPT DPT
• Erica Lynn Lorden

• Chiropractor in Middletown, DE
• Providers in Middletown, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.