Gillie, Logan

Gillie, Logan is an individual health care provider with primary practice located at 10313 Aboite Center Rd , Fort Wayne IN 46804-5435. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gillie, Logan can be contacted via phone (260) 459-6040.

Contact Information

Primary practice address
10313 Aboite Center Rd Fort Wayne IN 46804-5435
Phone: (260) 459-6040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1538534896
LBN Legal business name Gillie, Logan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2015
Last updated Dec 11th, 2015 - about 10 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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