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NPI Code Detail

MEDICARE: DR. LOGAN ROSS HARRE D.C.

MEDICARE: DR. LOGAN ROSS HARRE D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1864NE

General Provider Information

NPI Number : 1225400153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOGAN ROSS HARRE D.C.
Provider Business Mailing Address
First Line : 1301 FORT CROOK RD S
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-2940
Country : US
Telephone Number : 402-291-2580
Fax Number :
Provider Business Practice Location Address
First Line : 1301 FORT CROOK RD S
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-2940
Country : US
Telephone Number : 402-291-2580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2015
Last Update Date : 10/30/2015

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Directions to “ DR. LOGAN ROSS HARRE D.C.” Practice Location

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