Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN MICHAEL RUSSO, BC-HIS
Active Sole ProprietorLOGAN MICHAEL RUSSO, BC-HIS is a Hearing Instrument Specialist healthcare provider located in THEODORE, Alabama. NPI 1154282754 is currently active in the NPPES registry. Verify at CMS.
Hearing Instrument Specialist · THEODORE, AL
Registration Details
- NPI Number
- 1154282754
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Nov 21, 2025 (0.69572624181608 yrs)
- Last Updated
- Nov 21, 2025
- Licenses
-
714 (MS)4241 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8726 RAMSEY DRTHEODORE, AL, 365827040Browse AL providers · Browse ZIP 36582
- Phone
- 7325032347
- Primary Specialty
-
Hearing Instrument Specialist
237700000X
- Additional Specialty
- Hearing Instrument Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.