Davis, Logan Gregory

Davis, Logan Gregory is an individual health care provider with primary practice located at 677 Kidder Street , Wilkes Barre PA 18702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davis, Logan Gregory can be contacted via phone (570) 825-2046.

Contact Information

Primary practice address
677 Kidder Street Wilkes Barre PA 18702
Phone: (570) 825-2046
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1932575040
LBN Legal business name Davis, Logan Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2015
Last updated Feb 21st, 2018 - about 8 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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