Charles-Logan, Constance M

Charles-Logan, Constance M is an sole proprietor health care provider with primary practice located at 1414 59Th St W , Bradenton FL 34209-4607. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Charles-Logan, Constance M can be contacted via phone (941) 761-0663.

Contact Information

Primary practice address
1414 59Th St W Bradenton FL 34209-4607
Phone: (941) 761-0663
Fax: (941) 761-3347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME61745 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME61745 Florida

Profile Details

NPI number 1225073422
LBN Legal business name Charles-Logan, Constance M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated May 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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