LOW T CLINIC, LLC


Address: 2150 N Main St Ste 10, North Logan, UT 84341-1740
Phone: 8334685698

LOW T CLINIC, LLC (NPI# 1790295947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790295947
Entity Type Organization
Organization Name LOW T CLINIC, LLC
Practice Address 2150 N Main St Ste 10
North Logan
UT 84341-1740
Mailing Address Po Box 115
Providence
UT 84332-0115
Practice Telephone 8334685698
Enumeration Date 2017-10-02
Last Update Date 2018-03-21
Authorized Official Name DAVID L SKALKA JR. (OWNER)
Authorized Official Telephone 8334685698
Authorized Official Credential JD, FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 2150 N MAIN ST STE 10
City NORTH LOGAN
State UT
Zip Code 84341-1740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023512241 Cache Valley Endocrine & Diabetes Center Internal Medicine 2150 N Main St Ste 10, North Logan, UT 84341 2018-03-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538701529 Aubrey Salmond Registered Nurse 500 East 1500 N, Logan, UT 84341 2019-10-11
1043702046 Eye Pros of Logan LLC Optometrist 1475 N Main St Ste 103, Logan, UT 84341 2018-06-05
1275050452 Rylie Jeanne Cook Student in an Organized Health Care Education/Training Program 11 Aggie Village Apt. J, Logan, UT 84341 2017-08-28
1093262156 Jessica Lynn Mcgarry Social Worker 1040 N 130 W, Apt 100, Logan, UT 84341 2016-09-07
1740663566 Paul R Gregory Occupational Therapy Assistant 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 2015-06-30
1851708846 Bradley Budge Optometrist 535 E 1400 N Ste 130, Logan, UT 84341 2014-07-22
1386058709 Daniel Raymond Carlson Physician Assistant 500 E. 1400 N., Logan, UT 84341 2014-06-13
1902220239 Work Injury Solutions Inc. Clinic/Center 630 E 1400 N Ste 140, Logan, UT 84341 2014-02-06
1750627287 Lee Martin Williams Sr. Counselor 186 E. 1800 N., North Logan, UT 84341 2013-01-03
1669747804 Ronald J Payne Internal Medicine 1726 North 1850 East, North Logan, UT 84341 2012-03-21
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1750922415 Woundtech of Utah, Inc. General Practice 517 D St, Salt Lake City, UT 84103-2831 2019-10-03
1992355630 East West Health Pleasant Grove LLC General Practice 11020 N 5500 W # 101, Highland, UT 84003-9643 2019-09-15
1396393369 Root Medical General Practice 266 W 100 N Ste 2, Vernal, UT 84078-2026 2019-09-03
1154973576 Koraima Morel Tirado General Practice 1035 W 190 S, Lehi, UT 84043-3833 2019-07-15
1841856986 Northwestern Band of The Shoshone Nation Health & Human Services Dept. General Practice 241 W Forest St Ste A, Brigham City, UT 84302-2014 2019-05-14
1790297661 The Bridge Recovery Center General Practice 98 N 6680 W, Hurricane, UT 84737-6138 2017-10-31
1104345636 Coral Canyon Joint & Spine Health General Practice 83 S 2600 W Ste 102, Hurricane, UT 84737-3268 2017-09-15
1255795134 Pain Management Professionals LLC General Practice 4541 S 700 E, Suite 100, Murray, UT 84107-4118 2016-04-07
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Competitor

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City NORTH LOGAN
Zip Code 84341

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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