Logue, Brett Evan

Logue, Brett Evan is an individual health care provider with primary practice located at 180 E Pulaski Rd Suite C, Lower Level, Huntington Station NY 11746-1915. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Logue, Brett Evan can be contacted via phone (631) 396-1595.

Contact Information

Primary practice address
180 E Pulaski Rd Suite C, Lower Level Huntington Station NY 11746-1915
Phone: (631) 396-1595
Fax: (631) 396-1597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 017678-1 New York

Profile Details

NPI number 1720175615
LBN Legal business name Logue, Brett Evan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 27th, 2021 - about 3 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 1720175615 NPPES
New York Other P00800649 RAILROAD MEDICARE
New York MEDICAID 03167668 RAILROAD MEDICARE

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