Granera, Logan Jose

Granera, Logan Jose is an individual health care provider with primary practice located at 2743 Mount Pleasant St , Burlington IA 52601. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Granera, Logan Jose can be contacted via phone (319) 754-2020.

Contact Information

Primary practice address
2743 Mount Pleasant St Burlington IA 52601
Phone: (319) 754-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 092219 Iowa

Profile Details

NPI number 1306354147
LBN Legal business name Granera, Logan Jose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2018
Last updated Jun 14th, 2018 - 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.

Request for update

Popular Providers