| Logansport Family Health Care Pc | |
|
1201 Michigan Avenue Suite 270 Logansport IN 46947 | |
| (574) 722-4921 | |
| (574) 739-0520 |
| Full Name | Logansport Family Health Care Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1201 Michigan Avenue, Logansport, Indiana |
| Authorized Official Name and Position | Cory S Neumann (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 5747224921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logansport Family Health Care Pc 1201 Michigan Avenue Suite 270 Logansport IN 46947-1530 Ph: (574) 722-4921 | Logansport Family Health Care Pc 1201 Michigan Avenue Suite 270 Logansport IN 46947 Ph: (574) 722-4921 |
| NPI Number | 1912097197 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912097197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34004044A (Indiana) | Primary |
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