Jesperson, Logan

Jesperson, Logan is an sole proprietor health care provider with primary practice located at 3541 17Th Ave S , Saint Cloud MN 56301-9664. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Jesperson, Logan can be contacted via phone (320) 412-0695.

Contact Information

Primary practice address
3541 17Th Ave S Saint Cloud MN 56301-9664
Phone: (320) 412-0695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1225801459
LBN Legal business name Jesperson, Logan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2023
Last updated Oct 31st, 2023 - about 3 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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