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Contact Information

LOGANSPORT FAMILY HEALTH CARE PC
1201 MICHIGAN AVENUE
SUITE 270
LOGANSPORT, IN46947
 Phone: 574-722-4921
 Fax: 574-739-0520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LOGANSPORT FAMILY HEALTH CARE PC · (Female)

NPI # 1912097197
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2006
Last updated 01/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 34004044A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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