Peterson Chiropractic Clinic

LBN: Misustin Chiropractic Pc
Peterson Chiropractic Clinic is an health care organization with primary practice located at 1415 N 400 E Suite A, Logan UT 84341-7539. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Misustin Chiropractic Pc can be contacted via phone (435) 753-2840, or through Misustin, James Lawrence via phone (435) 753-2840.

Contact Information

Primary practice address
1415 N 400 E Suite A Logan UT 84341-7539
Phone: (435) 753-2840
Fax: (435) 787-9422
Website:
Map and Directions
Authorized official contact:
Name: Misustin, James Lawrence Doctor of Chiropractic (DC)
Phone: (435) 753-2840

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 320260-1202 Utah

Profile Details

NPI number 1801070628
LBN Legal business name Misustin Chiropractic Pc
DBA Doing business as Peterson Chiropractic Clinic
Authorized official Misustin, James Lawrence Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated Feb 27th, 2008 - about 16 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 1801070628 NPPES
Utah MEDICAID 554155506001

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