Porter, Logan

Porter, Logan is an individual health care provider with primary practice located at 1003 Cottonwood Rd , Creston IA 50801-1012. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Porter, Logan can be contacted via phone (641) 782-8457.

Contact Information

Primary practice address
1003 Cottonwood Rd Creston IA 50801-1012
Phone: (641) 782-8457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 077072 Iowa

Profile Details

NPI number 1851775084
LBN Legal business name Porter, Logan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated Jul 17th, 2015 - about 11 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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