Logan, Justin Walter

Logan, Justin Walter is an sole proprietor health care provider with primary practice located at 1247 E Siena Heights Dr , Adrian MI 49221-1755. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Logan, Justin Walter can be contacted via phone (517) 264-7870.

Contact Information

Primary practice address
1247 E Siena Heights Dr Adrian MI 49221-1755
Phone: (517) 264-7870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2601001786 Michigan

Profile Details

NPI number 1962912659
LBN Legal business name Logan, Justin Walter
Credentials AT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2017
Last updated Apr 20th, 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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