Bill Alan Logan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005438 Issued in MI

Practice address

27104 Dequindre Rd
Warren, MI 48092-3537

Phone

(586) 751-1977

Fax

(586) 751-1929

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Logan Chiropractic Center

  • Chiropractor
  • Warren, MI
  • NPI 1629124326
  Medicare reassignment NPD Authorized official
• Logan Chiropractic Center

  • Clinic/Center
  • Warren, MI
  • NPI 1366858102
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740203405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17830 BRENTWOOD DR",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481938153",
            "telephone_number": "734-246-9961"
        },
        {
            "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",
            "fax_number": "586-751-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "BILL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4510951",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Locke Wisniewski, PT, DPT
• Kaelyn Reyon Lockridge
• Emma Lockwood, DC
• Logan Chiropractic Center
• Logan Chiropractic Center
• Muamera Logo-Lojo, LMSW
• Merima Logo, LLMSW
• Ismira Lokmic
• Daniel Raymond Lomasney, PA-C
• Koreen S Loncharich, CRNA

• Chiropractor in Warren, MI
• Providers in Warren, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.