Logsdon, Terri Kathryn

Logsdon, Terri Kathryn is an sole proprietor health care provider with primary practice located at 197 Sw Twig Ave , Port Saint Lucie FL 34983-3031. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. Logsdon, Terri Kathryn can be contacted via phone (772) 340-1130.

Contact Information

Primary practice address
197 Sw Twig Ave Port Saint Lucie FL 34983-3031
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1629235544
LBN Legal business name Logsdon, Terri Kathryn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated May 19th, 2008 - about 16 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 1629235544 NPPES
Florida MEDICAID 2306255 00

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