| Logan C Martin Pc | |
|
1019 W Lacrosse Ave, Coeur D Alene, ID 83814-2418 | |
| (208) 292-4873 | |
| (208) 292-4875 |
| Full Name | Logan C Martin Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1019 W Lacrosse Ave, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477811750 | NPI | - | NPPES |
| 1678934 | Other | ID | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1192 (Idaho) | Primary |
| Provider Name | Logan C Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265627632 PECOS PAC ID: 3779679675 Enrollment ID: I20100610000349 |
| Provider Name | Sylvia A Tripp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083086086 PECOS PAC ID: 2769782036 Enrollment ID: I20170818001532 |
| Provider Name | Brittany Claire Correll |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033534482 PECOS PAC ID: 0547493173 Enrollment ID: I20200714003059 |
| Provider Name | Marlo Macai Vankeuren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013505312 PECOS PAC ID: 2668885690 Enrollment ID: I20210111002722 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan C Martin Pc 1911 N Quail Run Blvd, Post Falls, ID 83854-6018 Ph: (208) 292-4873 | Logan C Martin Pc 1019 W Lacrosse Ave, Coeur D Alene, ID 83814-2418 Ph: (208) 292-4873 |
Dr. Adam Kenneth Mills, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7600 N Mineral Dr Ste 450, Coeur D Alene, ID 83815 Phone: 208-457-4208 Fax: 208-457-4197 | |
Dr. Marlo Macai Vankeuren, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 850 W Ironwood Dr Ste 301, Coeur D Alene, ID 83814 Phone: 208-209-7222 | |
Advanced Health Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 206 W Ironwood Dr # 100, Coeur D Alene, ID 83814 Phone: 208-765-8061 Fax: 208-683-2823 | |
Dr. Christopher Aldon Boggess, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2634 N Government Way, Coeur D Alene, ID 83815 Phone: 208-664-1000 | |
Dr. James N Anderson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 296 W Sunset Ave, #15, Coeur D Alene, ID 83815 Phone: 208-667-3000 | |
Dr. Brittany Claire Correll, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1104 N 4th St Ste B, Coeur D Alene, ID 83814 Phone: 208-292-4873 Fax: 208-292-4875 | |
Jennifer Lorene Wells, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1705 N Government Way, Coeur D Alene, ID 83814 Phone: 208-704-5879 |