Logan, Keri A
Logan, Keri A is an individual health care provider with primary practice located at 200 Belle Terre Road St. Charles Hospital, Port Jefferson NY 11777. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Logan, Keri A can be contacted via phone (631) 474-6553.Contact Information
Primary practice address
200 Belle Terre Road St. Charles Hospital
Port Jefferson NY 11777
Phone: (631) 474-6553
Fax: (631) 474-6024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 045910 | New York |
Profile Details
| NPI number | 1518970789 |
|---|---|
| LBN Legal business name | Logan, Keri A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Mar 31st, 2017 - about 7 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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