Sarge, Logan Alexander
Sarge, Logan Alexander is an individual health care provider with primary practice located at 10101 W Wisconsin Ave , Wauwatosa WI 53226-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Sarge, Logan Alexander can be contacted via phone (414) 259-6310.Contact Information
Primary practice address
10101 W Wisconsin Ave
Wauwatosa WI 53226-4861
Phone: (414) 259-6310
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PENDING | Wisconsin |
Profile Details
NPI number | 1184261943 |
---|---|
LBN Legal business name | Sarge, Logan Alexander |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 28th, 2019 |
Last updated | Nov 28th, 2019 - about 6 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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