Logan, Michelle Marie

Logan, Michelle Marie is an individual health care provider with primary practice located at 1062 State Route 38 , Owego NY 13827. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Logan, Michelle Marie can be contacted via phone (607) 687-4000.

Contact Information

Primary practice address
1062 State Route 38 Owego NY 13827
Phone: (607) 687-4000
Fax: (607) 687-6396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 19014 New York

Profile Details

NPI number 1487753869
LBN Legal business name Logan, Michelle Marie
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487753869 NPPES
New York Other 19014 CASAC

Popular Providers