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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
2150 N MAIN ST STE 10 |
City | NORTH LOGAN |
State | UT |
Zip Code | 84341-1740 |
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 |
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 |
Find all providers in zip 84341 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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Find all providers with the same taxonomy |
City | NORTH LOGAN |
Zip Code | 84341 |
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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.