Logan, Tracy L

Logan, Tracy L is an sole proprietor health care provider with primary practice located at 11090 Schwab Dr , Parma OH 44130-5949. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Logan, Tracy L can be contacted via phone (440) 888-2911.

Contact Information

Primary practice address
11090 Schwab Dr Parma OH 44130-5949
Phone: (440) 888-2911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 115279 Ohio

Profile Details

NPI number 1174649826
LBN Legal business name Logan, Tracy L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Apr 9th, 2008 - about 18 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 1174649826 NPPES
Ohio MEDICAID 2687614

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