Logan, Jennie Marie

Logan, Jennie Marie is an sole proprietor health care provider with primary practice located at 473 County Road Se 3370 , Winnsboro TX 75494-5405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Logan, Jennie Marie can be contacted via phone (903) 588-6384.

Contact Information

Primary practice address
473 County Road Se 3370 Winnsboro TX 75494-5405
Phone: (903) 588-6384
Fax: (903) 860-2542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2101392 Texas

Profile Details

NPI number 1235525841
LBN Legal business name Logan, Jennie Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2015
Last updated Apr 9th, 2015 - about 9 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 1235525841 NPPES
Texas Other 16249756 DRIVERS LICENSE

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