Logan, Jeffery A
Logan, Jeffery A is an sole proprietor health care provider with primary practice located at 222 Auburn St Ste 103, Portland ME 04103-6004. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Logan, Jeffery A can be contacted via phone (207) 780-8880.Contact Information
Primary practice address
222 Auburn St Ste 103
Portland ME 04103-6004
Phone: (207) 780-8880
Fax: (207) 773-0959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC157 | Maine |
Profile Details
| NPI number | 1932128436 |
|---|---|
| LBN Legal business name | Logan, Jeffery A |
| Credentials | LAC,LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932128436 | NPPES |
| Maine | Other | 036445 | BC/BS STAR |
| Maine | Other | M23908 | BC/BS STAR |
| Maine | Other | 1815546 | BC/BS STAR |
| Maine | Other | 2425756 | BC/BS STAR |
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