| Logan Tyler North, DC | |
|
109 Church St, O Fallon, MO 63366-2894 | |
| (636) 240-2225 | |
| (636) 281-5377 |
| Full Name | Logan Tyler North |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 109 Church St, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013424357 | NPI | - | NPPES |
| 5562 | Other | KY | STATE LICENSE BOARD |
| 2020035024 | Other | MO | STATE LICENSE BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5562 (Kentucky) | Secondary |
| 111N00000X | Chiropractor | 2020035024 (Missouri) | Primary |
| Provider Name | Mark E Stuckey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386692234 PECOS PAC ID: 3375615958 Enrollment ID: I20080627000056 |
| Provider Name | No Limits Chiropractic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790477610 PECOS PAC ID: 1850752700 Enrollment ID: O20230725003360 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Tyler North, DC 109 Church St, O Fallon, MO 63366-2894 Ph: (636) 240-2225 | Logan Tyler North, DC 109 Church St, O Fallon, MO 63366-2894 Ph: (636) 240-2225 |
Dr. Daniel Thomas Spitler Ii, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1246 Bryan Rd, O Fallon, MO 63366 Phone: 636-443-8300 Fax: 636-443-8301 | |
Dr. Miranda Paton Moore, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 75 Rock Church Dr, O Fallon, MO 63368 Phone: 636-751-9301 | |
Dr. Leslie Scott Butler, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 28 Crossroads Plz, Suite 101, O Fallon, MO 63368 Phone: 636-970-0566 Fax: 636-970-2738 | |
Feldewerth Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 207 S Main St, O Fallon, MO 63366 Phone: 636-978-7700 Fax: 636-978-7700 | |
Dr. Jeffrey Scott Becker, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 204 W Pitman St Ste C, O Fallon, MO 63366 Phone: 636-379-6267 Fax: 636-980-8083 | |
All About Health Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2011 Highway K, O Fallon, MO 63366 Phone: 636-240-4617 |