Logen Izzak Hirn
Logen Izzak Hirn is an Athletic Trainer in Jacksonville, North Carolina. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
200 Valencia DrJacksonville, NC 28546-6311
Phone: (252) 341-4192
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1639733975 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 23, 2019 |
| Last updated in NPPES | September 13, 2021 |
| Certification date | September 13, 2021 |
| Mailing address | 200 Valencia Dr, Jacksonville, NC 28546-6311 |
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