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:
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Health care specialties

SpecialtyCodeLicense #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 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205972171 NPPES
Maine Other 008640 ANTHEM BCBS
Maine MEDICAID 300740099 ANTHEM BCBS

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