Logan, Danita
Logan, Danita is an sole proprietor health care provider with primary practice located at 284 Broadway Ave , Youngstown OH 44504-1752. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Logan, Danita can be contacted via phone (330) 743-9275.Contact Information
Primary practice address
284 Broadway Ave
Youngstown OH 44504-1752
Phone: (330) 743-9275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1417467614 |
|---|---|
| LBN Legal business name | Logan, Danita |
| Credentials | QMHS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2017 |
| Last updated | Oct 3rd, 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 | 1417467614 | NPPES |
| Ohio | MEDICAID | 2098313 |
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