Organization
LOGAN CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL ALAN LOGAN D.C (OWNER)
(586) 751-1977
Entity
Organization
Contact information
Practice address
27104 DEQUINDRE RD, WARREN, MI 48092-3537
(586) 751-1977
(586) 751-1929
Mailing address
27104 DEQUINDRE RD, WARREN, MI 48092-3537
(586) 751-1977
(586) 751-1929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
BL005438
MI
111N00000X
Chiropractor
CS008620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4510951
—
MI
01
—
950E001510
BLUE CROSS GROUP NUMBER
MI
Enumeration date
01/26/2007
Last updated
11/28/2017
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