Logan, Gregory David
Logan, Gregory David is an sole proprietor health care provider with primary practice located at 219 Minnesota Ave , Whitefish MT 59937-2347. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Logan, Gregory David can be contacted via phone (407) 270-1949.Contact Information
Primary practice address
219 Minnesota Ave
Whitefish MT 59937-2347
Phone: (407) 270-1949
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP653 | Maine |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1194 | Montana |
Profile Details
| NPI number | 1205972171 |
|---|---|
| LBN Legal business name | Logan, Gregory David |
| Credentials | M.S., SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 19th, 2011 - about 14 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 | 1205972171 | NPPES |
| Maine | Other | 008640 | ANTHEM BCBS |
| Maine | MEDICAID | 300740099 | ANTHEM BCBS |
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