Deroin, Logan

Deroin, Logan is an individual health care provider with primary practice located at 535 N Locust Grove Rd Ste 170 , Meridian ID 83642-9379. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Deroin, Logan can be contacted via phone (208) 917-2660.

Contact Information

Primary practice address
535 N Locust Grove Rd Ste 170 Meridian ID 83642-9379
Phone: (208) 917-2660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1629624366
LBN Legal business name Deroin, Logan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Aug 16th, 2019 - about 6 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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