Logan, Nell

Logan, Nell is an sole proprietor health care provider with primary practice located at 636 Church St #409, Evanston IL 60201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Logan, Nell can be contacted via phone (847) 328-8886.

Contact Information

Primary practice address
636 Church St #409 Evanston IL 60201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071001854 Illinois

Profile Details

NPI number 1265428452
LBN Legal business name Logan, Nell
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Jul 5th, 2012 - about 10 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 1265428452 NPPES
Other 0001672439 BLUE CROSS BLUE SHIELD

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