Smith, Logan Thomas
Smith, Logan Thomas is an individual health care provider with primary practice located at 1258 Bellefontaine St Ste A , Wapakoneta OH 45895. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Smith, Logan Thomas can be contacted via phone (419) 739-1980.Contact Information
Primary practice address
1258 Bellefontaine St Ste A
Wapakoneta OH 45895
Phone: (419) 739-1980
Fax: (419) 739-1982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.17702-NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.17702 | Ohio |
Profile Details
| NPI number | 1770964157 |
|---|---|
| LBN Legal business name | Smith, Logan Thomas |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2015 |
| Last updated | Nov 20th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770964157 | NPPES |
| Ohio | MEDICAID | 0139583 |
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