Logsdon, Jake Thomas

Logsdon, Jake Thomas is an individual health care provider with primary practice located at 830 W Broadway St , Campbellsville KY 42718-2701. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Logsdon, Jake Thomas can be contacted via phone (866) 934-7450.

Contact Information

Primary practice address
830 W Broadway St Campbellsville KY 42718-2701
Phone: (866) 934-7450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 275818 Kentucky

Profile Details

NPI number 1174221766
LBN Legal business name Logsdon, Jake Thomas
Credentials TCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2023
Last updated Feb 22nd, 2023 - about 2 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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