Logue, Rebecca M.

Logue, Rebecca M. is an individual health care provider with primary practice located at 14973 W Bell Rd , Surprise AZ 85374-3236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Logue, Rebecca M. can be contacted via phone (623) 934-5600.

Contact Information

Primary practice address
14973 W Bell Rd Surprise AZ 85374-3236
Phone: (623) 934-5600
Fax: (623) 934-5603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP1554 Arizona

Profile Details

NPI number 1962553347
LBN Legal business name Logue, Rebecca M.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Mar 1st, 2013 - about 13 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 1962553347 NPPES
Arizona MEDICAID 746547

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