Logue, Matthew

Logue, Matthew is an sole proprietor health care provider with primary practice located at 2009 Mossy Cove , Brandon MS 39042. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Logue, Matthew can be contacted via phone (601) 519-7766.

Contact Information

Primary practice address
2009 Mossy Cove Brandon MS 39042
Phone: (601) 519-7766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Mississippi

Profile Details

NPI number 1104275510
LBN Legal business name Logue, Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2016
Last updated Jun 7th, 2016 - about 9 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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