| 100 Chiro Hall Pllc | |
|
682 S Main St Ste 150, Logan, UT 84321-6567 | |
| (404) 578-5818 | |
| Not Available |
| Full Name | 100 Chiro Hall Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 682 S Main St Ste 150, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215524392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jared V Hall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669858585 PECOS PAC ID: 3971884339 Enrollment ID: I20161227001511 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Chiro Hall Pllc 2159 N 500 E, North Logan, UT 84341-7800 Ph: (404) 578-5818 | 100 Chiro Hall Pllc 682 S Main St Ste 150, Logan, UT 84321-6567 Ph: (404) 578-5818 |
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