PRENTISE LESLIE LOGAN CERTIFIED HAIR LOSS NPI 1659954709

NPI Information

NPI: 1659954709
Provider Name: PRENTISE LESLIE LOGAN, CERTIFIED HAIR LOSS
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
6760 TUSSING RD STE 200H
REYNOLDSBURG, OH
ZIP 43068
Phone: (614) 806-1720
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Prentise Leslie Logan, CERTIFIED HAIR LOSS is a prosthetics case management specialist in Reynoldsburg, OH. Prentise Leslie Logan, CERTIFIED HAIR LOSS NPI is 1659954709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6760 TUSSING RD STE 200H
REYNOLDSBURG, OH
ZIP 43068-137
Phone: (614) 806-1720

The enumeration date for this NPI number is 5/5/2021 and was last updated on 5/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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