Colvis, Logan

Colvis, Logan is an individual health care provider with primary practice located at 101 S Wall St , Carbondale IL 62901-3021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Colvis, Logan can be contacted via phone (618) 519-9200.

Contact Information

Primary practice address
101 S Wall St Carbondale IL 62901-3021
Phone: (618) 519-9200
Fax: (618) 519-9404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.010504 Illinois

Profile Details

NPI number 1720826506
LBN Legal business name Colvis, Logan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2024
Last updated Jul 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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