Pockl, Logan Elyse

Pockl, Logan Elyse is an individual health care provider with primary practice located at 9916 75Th St Ste 205 , Kenosha WI 53142-7583. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pockl, Logan Elyse can be contacted via phone (262) 942-4000.

Contact Information

Primary practice address
9916 75Th St Ste 205 Kenosha WI 53142-7583
Phone: (262) 942-4000
Fax: (262) 942-7740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 14082-33 Wisconsin

Profile Details

NPI number 1407530934
LBN Legal business name Pockl, Logan Elyse
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about 2 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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