Logue, Marcine
Logue, Marcine is an individual health care provider with primary practice located at 521 Mount Auburn St Ste 202, Watertown MA 02472-4191. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Logue, Marcine can be contacted via phone (617) 926-9000.Contact Information
Primary practice address
521 Mount Auburn St Ste 202
Watertown MA 02472-4191
Phone: (617) 926-9000
Fax: (617) 926-7053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 196221 | Massachusetts |
Profile Details
| NPI number | 1174581029 |
|---|---|
| LBN Legal business name | Logue, Marcine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Mar 2nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174581029 | NPPES |
| Massachusetts | MEDICAID | 0327964 |
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