Logan Tyler North is a O Fallon, Missouri based male chiropractor who is specialized as General Chiropractor. Active license number of Logan Tyler North as General Chiropractor is 2020035024 in Missouri. Logan Tyler North is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Logan Tyler North speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
109 Church St, O Fallon, Missouri, 63366-2894
Phone:
636-240-2225
Fax:
636-281-5377
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013424357
NPI Enumeration Date:
09 Jan, 2018
NPI Last Update On:
19 Oct, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Logan Tyler North are as mentioned below.
License Number
Specialization
State
Status
2020035024
Chiropractor
Missouri
Primary
5562
General Chiropractor
Kentucky
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Logan Tyler North such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5562
Other
Kentucky
STATE LICENSE BOARD
2020035024
Other
Missouri
STATE LICENSE BOARD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
109 Church St, O Fallon, Missouri
Zip:
63366-2894
Phone Number:
636-240-2225
Fax Number:
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Patients can reach Logan Tyler North at 109 Church St, O Fallon, Missouri or can call to book an appointment on 636-240-2225. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.