Provider Demographics
NPI:1013880319
Name:CASEMAN, LOGAN DEAN
Entity type:Individual
Prefix:MR
First Name:LOGAN
Middle Name:DEAN
Last Name:CASEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 DIXON MILL RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-8642
Mailing Address - Country:US
Mailing Address - Phone:740-456-7596
Mailing Address - Fax:
Practice Address - Street 1:1142 DIXON MILL RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-8642
Practice Address - Country:US
Practice Address - Phone:740-456-7596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide