Logiudice, Jenna A

Logiudice, Jenna A is an sole proprietor health care provider with primary practice located at 134 Grandview Ave Suite 210, Waterbury CT 06708-2507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Logiudice, Jenna A can be contacted via phone (203) 754-2535.

Contact Information

Primary practice address
134 Grandview Ave Suite 210 Waterbury CT 06708-2507
Phone: (203) 754-2535
Fax: (203) 754-0788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 000319 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000319 Connecticut

Profile Details

NPI number 1548423973
LBN Legal business name Logiudice, Jenna A
Credentials LNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2008
Last updated May 26th, 2015 - 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 1548423973 NPPES
Connecticut Other 000319 CT NURSE MIDWIFE LICENSE

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