Logan, Linda S

Logan, Linda S is an individual health care provider with primary practice located at 3893 E Market St , Warren OH 44484-4706. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Logan, Linda S can be contacted via phone (330) 856-1272.

Contact Information

Primary practice address
3893 E Market St Warren OH 44484-4706
Phone: (330) 856-1272
Fax: (330) 856-2960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-135649 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.00492-NA Ohio

Profile Details

NPI number 1073562807
LBN Legal business name Logan, Linda S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Mar 17th, 2011 - about 14 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 1073562807 NPPES
Ohio MEDICAID 0847963
Ohio Other 11894927

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