Logan, Sydney Elizabeth

Logan, Sydney Elizabeth is an sole proprietor health care provider with primary practice located at 2301 Park Ave Ste 203 , Orange Park FL 32073-5558. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Logan, Sydney Elizabeth can be contacted via phone (904) 203-8559.

Contact Information

Primary practice address
2301 Park Ave Ste 203 Orange Park FL 32073-5558
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 405 Florida

Profile Details

NPI number 1982283248
LBN Legal business name Logan, Sydney Elizabeth
Credentials LM, CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2021
Last updated Apr 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982283248 NPPES
Florida Other 405 FLORIDA DEPARTMENT OF HEALTH

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