Logan, Mark Edward

Logan, Mark Edward is an individual health care provider with primary practice located at 3823 Main St , Chincoteague VA 23336-1857. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Logan, Mark Edward can be contacted via phone (757) 336-2844.

Contact Information

Primary practice address
3823 Main St Chincoteague VA 23336-1857
Phone: (757) 336-2844
Fax: (757) 336-2811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1457022998
LBN Legal business name Logan, Mark Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2021
Last updated Sep 24th, 2021 - about 4 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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