Logan C Martin Pc

LBN: Logan C Martin Pc
Logan C Martin Pc is an health care organization with primary practice located at 1019 W Lacrosse Ave , Coeur D Alene ID 83814-2418. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Logan C Martin Pc can be contacted via phone (208) 292-4873, or through Martin, Logan C via phone (208) 292-4873.

Contact Information

Primary practice address
1019 W Lacrosse Ave Coeur D Alene ID 83814-2418
Fax: (208) 292-4875
Website:
Authorized official contact:
Name: Martin, Logan C Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1192 Idaho

Profile Details

NPI number 1477811750
LBN Legal business name Logan C Martin Pc
DBA Doing business as
Authorized official Martin, Logan C Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2012
Last updated Apr 24th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477811750 NPPES
Idaho Other 1678934 PTAN

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