Logan, Prudence
Logan, Prudence is an sole proprietor health care provider with primary practice located at 112 Boeykens Pl Ste 2A , Normal IL 61761-2152. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Logan, Prudence can be contacted via phone (309) 846-4716.Contact Information
Primary practice address
112 Boeykens Pl Ste 2A
Normal IL 61761-2152
Phone: (309) 846-4716
Fax: (309) 454-7348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1457658288 |
|---|---|
| LBN Legal business name | Logan, Prudence |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2011 |
| Last updated | Feb 14th, 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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