Hageman, Logan Leigh

Hageman, Logan Leigh is an individual health care provider with primary practice located at 750 W D Ave , Kingman KS 67068-1266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hageman, Logan Leigh can be contacted via phone (620) 532-0295.

Contact Information

Primary practice address
750 W D Ave Kingman KS 67068-1266
Phone: (620) 532-0295
Fax: (855) 483-0002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-79909-071 Kansas

Profile Details

NPI number 1689253957
LBN Legal business name Hageman, Logan Leigh
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2021
Last updated Nov 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689253957 NPPES
Kansas MEDICAID 30003916630006
Kansas MEDICAID 201328600A

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