Mathus, Logan Dishawn
Mathus, Logan Dishawn is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort Meade MD 20755-7081. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Mathus, Logan Dishawn can be contacted via phone (301) 677-8796.Contact Information
Primary practice address
2480 Llewellyn Ave
Fort Meade MD 20755-7081
Phone: (301) 677-8796
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1952146987 |
|---|---|
| LBN Legal business name | Mathus, Logan Dishawn |
| Credentials | PTT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2024 |
| Last updated | Jul 1st, 2024 - about last year |
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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