Nagel, Logan

Nagel, Logan is an sole proprietor health care provider with primary practice located at 1815 Wells St , Las Cruces NM 88003-1304. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Nagel, Logan can be contacted via phone (575) 646-7574.

Contact Information

Primary practice address
1815 Wells St Las Cruces NM 88003-1304
Phone: (575) 646-7574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 572 New Mexico

Profile Details

NPI number 1104211101
LBN Legal business name Nagel, Logan
Credentials ATC/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2015
Last updated Apr 6th, 2015 - about 10 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 1104211101 NPPES
New Mexico Other 572 STATE OF NEW MEXICO REGULATIONS & LICENSING DEPARTMENT ATHLETIC TRAINERS PRACTIC
New Mexico Other 2000012918 STATE OF NEW MEXICO REGULATIONS & LICENSING DEPARTMENT ATHLETIC TRAINERS PRACTIC

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