Healthcare Provider Details

I. General information

NPI: 1376406389
Provider Name (Legal Business Name): LOGITECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4307 WAXWING ST
HOSCHTON GA
30548-5538
US

IV. Provider business mailing address

4307 WAXWING ST
HOSCHTON GA
30548-5538
US

V. Phone/Fax

Practice location:
  • Phone: 667-803-0636
  • Fax:
Mailing address:
  • Phone: 667-803-0636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: ASMA KHALID
Title or Position: ADMIN
Credential:
Phone: 667-803-0636