LOGAN FLACK (NPI# 1578197562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578197562 |
Entity Type | Individual |
Full Name | LOGAN FLACK |
Practice Address |
7710 N County Road 400 E Frankfort IN 46041-7939 |
Practice Telephone | 7652429139 |
Mailing Telephone | 7652429139 |
Enumeration Date | 2020-02-27 |
Last Update Date | 2020-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225500000X | Specialist/Technologist | 29001910A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7710 N COUNTY ROAD 400 E |
City | FRANKFORT |
State | IN |
Zip Code | 46041-7939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
1639667868 | Missy Luann Mobley | Pharmacist | 1300 S Jackson Street, Frankfort, IN 46041 | 2018-04-24 |
1437679958 | Unity Healthcare, LLC | Family Medicine | 2002 West County Road 0 N/s, Frankfort, IN 46041 | 2017-06-26 |
1487048765 | Adriana Lizbeth Olivas | Specialist/Technologist | 750 W Norris Way, Frankfort, IN 46041 | 2015-03-24 |
1356785778 | Larry Gene Bond | Dermatology | 9637 W. County Rd 200 N., Frankfort, IN 46041 | 2013-04-29 |
1619221439 | Clinton County Government | Counselor | 55 W Washington St, Frankfort, IN 46041 | 2012-10-31 |
1114137825 | Sands Group, Inc. | Occupational Therapy Assistant | 1555 North Main Street, Frankfort, IN 46041 | 2007-05-23 |
1861606865 | Clinton County Wic Program | Public Health or Welfare | Clinton County Wic Program, 2120 Washington Avenue, Frankfort, IN 46041 | 2007-05-09 |
1962624114 | Clinton Prairie School Corporation | Local Education Agency (LEA) | 4431 W State Road, Frankfort, IN 46041 | 2007-05-03 |
1063527620 | Dean D Craft | Dentist | 900 E Walnut St, Frankfort, IN 46041 | 2006-08-21 |
Find all providers in zip 46041 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598220832 | Jean Kosina | Specialist/Technologist | 325 5th Ave, Frankfort, NY 13340-3622 | 2019-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063034965 | Joslyn Burke | Specialist/Technologist | 1834 State Road 25 W, Lafayette, IN 47909-9272 | 2020-05-13 |
1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
1447660279 | Steven Edward Maschmeyer | Specialist/Technologist | 10291 N Meridian St Ste 170, Indianapolis, IN 46290-1000 | 2014-05-01 |
1780900472 | Brainworx, LLC | Specialist/Technologist | 9767 Fall Creek Rd, Indianapolis, IN 46256-4713 | 2010-04-20 |
1720246572 | Walter J Filipek Md | Specialist/Technologist | 707 N Michigan Street, # 318, South Bend, IN 46601-1070 | 2008-05-29 |
1528033131 | Catherine Marie Fedder | Specialist/Technologist | 115 Woodland Ct, Mishawaka, IN 46545-3348 | 2006-02-18 |
1134497308 | Scott Mclaughlin | Specialist/Technologist | 53880 Carmichael Dr, South Bend, IN 46635 | 2011-12-02 |
1689982613 | Theresa M Dickerson | Specialist/Technologist | 2625 N Meridian St, Indianapolis, IN 46208-7701 | 2010-09-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.