Thomas, Logan Nicole

Thomas, Logan Nicole is an individual health care provider with primary practice located at 329 Wesley St , Johnson City TN 37601-1772. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Thomas, Logan Nicole can be contacted via phone (423) 631-0055.

Contact Information

Primary practice address
329 Wesley St Johnson City TN 37601-1772
Phone: (423) 631-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 30187 Tennessee

Profile Details

NPI number 1639835895
LBN Legal business name Thomas, Logan Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2021
Last updated Aug 10th, 2022 - about 4 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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