Logan, Paige Nicole

Logan, Paige Nicole is an individual health care provider with primary practice located at 14715 E Highway 20 , Clearlake Oaks CA 95423. 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, Paige Nicole can be contacted via phone (707) 998-1800.

Contact Information

Primary practice address
14715 E Highway 20 Clearlake Oaks CA 95423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X SUDRC15712 California

Profile Details

NPI number 1760160170
LBN Legal business name Logan, Paige Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2023
Last updated Jul 6th, 2023 - about last year

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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