Logsdon, Mallory Anne

Logsdon, Mallory Anne is an sole proprietor health care provider with primary practice located at 5507 S Congress Ave Suite 140, Lake Worth FL 33462-1139. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Logsdon, Mallory Anne can be contacted via phone (561) 965-6685.

Contact Information

Primary practice address
5507 S Congress Ave Suite 140 Lake Worth FL 33462-1139
Phone: (561) 965-6685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106949 Florida

Profile Details

NPI number 1306183090
LBN Legal business name Logsdon, Mallory Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2013
Last updated Jan 27th, 2014 - about 10 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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