Logan, Makenzie Rae
Logan, Makenzie Rae is an individual health care provider with primary practice located at 1401 High School Dr , Bellevue NE 68005-3274. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Logan, Makenzie Rae can be contacted via phone (402) 293-4150.Contact Information
Primary practice address
1401 High School Dr
Bellevue NE 68005-3274
Phone: (402) 293-4150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2018010907 | Nebraska |
Profile Details
| NPI number | 1417436148 |
|---|---|
| LBN Legal business name | Logan, Makenzie Rae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2018 |
| Last updated | Aug 13th, 2018 - about 7 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 | 1417436148 | NPPES |
| Illinois | Other | TFZ826226512 | BLUECROSS BLUESHIELD OF ILLINOIS |
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