Logan, Constance Adams

Logan, Constance Adams is an individual health care provider with primary practice located at 4101 Woolworth Ave , Omaha NE 68105-1850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Logan, Constance Adams can be contacted via phone (402) 346-8800.

Contact Information

Primary practice address
4101 Woolworth Ave Omaha NE 68105-1850
Phone: (402) 346-8800
Fax: (402) 449-0667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 573 Nebraska

Profile Details

NPI number 1700899366
LBN Legal business name Logan, Constance Adams
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 9th, 2007 - about 18 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 1700899366 NPPES
South Carolina MEDICAID 10025011600

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