Hausman, Logan
Hausman, Logan is an individual health care provider with primary practice located at 199 Frontier Trl , Pocahontas AR 72455-1379. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Hausman, Logan can be contacted via phone (870) 926-9076.Contact Information
Primary practice address
199 Frontier Trl
Pocahontas AR 72455-1379
Phone: (870) 926-9076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prevention Professional | 405300000X | OT-A1192 | Arkansas |
Profile Details
| NPI number | 1619417870 |
|---|---|
| LBN Legal business name | Hausman, Logan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2017 |
| Last updated | Mar 13th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619417870 | NPPES |
| Arkansas | MEDICAID | 217966721 |
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