Logan, Michael Odell

Logan, Michael Odell is an individual health care provider with primary practice located at 3455 W Craig Rd Ste C , North Las Vegas NV 89032-5119. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Logan, Michael Odell can be contacted via phone (702) 612-5844.

Contact Information

Primary practice address
3455 W Craig Rd Ste C North Las Vegas NV 89032-5119
Fax: (702) 479-7134
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 103K00000X Nevada

Profile Details

NPI number 1225316656
LBN Legal business name Logan, Michael Odell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Aug 3rd, 2011 - about 13 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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