| Peterson Chiropractic Clinic | |
|
1415 N 400 E, Suite A, Logan, UT 84341-7539 | |
| (435) 753-2840 | |
| (435) 787-9422 |
| Full Name | Peterson Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 1415 N 400 E, 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 |
|---|---|---|---|
| 1801070628 | NPI | - | NPPES |
| 554155506001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 320260-1202 (Utah) | Primary |
| Provider Name | Karson B Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659406858 PECOS PAC ID: 7911893045 Enrollment ID: I20040225001022 |
| Provider Name | Evan J Lefevre |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386725190 PECOS PAC ID: 6507968104 Enrollment ID: I20070228000605 |
| Provider Name | James L Misustin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427115682 PECOS PAC ID: 7810078607 Enrollment ID: I20080117000778 |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Chiropractic Clinic 1415 N 400 E, Suite A, Logan, UT 84341-7539 Ph: (435) 753-2840 | Peterson Chiropractic Clinic 1415 N 400 E, Suite A, Logan, UT 84341-7539 Ph: (435) 753-2840 |
Integrated Whiplash Recovery Group Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1415 N 400 E, Suite C, Logan, UT 84341 Phone: 435-753-2253 Fax: 435-787-9422 | |
Advanced Spine & Health Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 965 S 100 W, Ste. 105, Logan, UT 84321 Phone: 435-752-5522 Fax: 435-752-3075 | |
Wayne L. Hunsaker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 150 E 200 N, Suite I, Logan, UT 84321 Phone: 435-752-2962 | |
100 Chiro Hall Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 682 S Main St Ste 150, Logan, UT 84321 Phone: 404-578-5818 | |
Dr. Justin Chance Allen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 265 S 400 E, Logan, UT 84321 Phone: 435-232-0566 | |
Astle Chiropractic Clinic Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 112 E 100 N, Logan, UT 84321 Phone: 435-753-4744 | |
Dr. Brent E. Peterson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1415 N 400 E, Suite C, Logan, UT 84341 Phone: 435-787-1787 Fax: 435-787-1797 |