Ms Tina Marie Logan, OT is a
Registered Nurse based in Southfield, Michigan. Ms Tina Marie Logan is licensed to practice in Michigan (license number 4704290093) and her current practice location is
20458 Midway Ave, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 469-9856.
NPI number for Ms Tina Marie Logan is 1669767935 and her current mailing address is 20458 Midway Ave, Southfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669767935.
Healthcare Provider's Profile
Full Name | Ms Tina Marie Logan |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 20458 Midway Ave, Southfield, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669767935
- Provider Enumeration Date: 06/15/2011
- Last Update Date: 10/23/2014
Medical Identifiers
Medical identifiers for Ms Tina Marie Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669767935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT14109 (Florida) | Secondary |
163W00000X | Registered Nurse | 4704290093 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tina Marie Logan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Tina Marie Logan, OT 20458 Midway Ave, Southfield, MI 48075-3811 Ph: (248) 469-9856 | Ms Tina Marie Logan, OT 20458 Midway Ave, Southfield, MI 48075-3811 Ph: (248) 469-9856 |
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