Fairchild, Logan Henry

Fairchild, Logan Henry is an individual health care provider with primary practice located at 420 S 5Th Ave , West Reading PA 19611-2143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fairchild, Logan Henry can be contacted via phone (484) 628-8269.

Contact Information

Primary practice address
420 S 5Th Ave West Reading PA 19611-2143
Phone: (484) 628-8269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS022631 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X OT019238 Pennsylvania

Profile Details

NPI number 1881253649
LBN Legal business name Fairchild, Logan Henry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2019
Last updated Sep 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881253649 NPPES
Pennsylvania Other OS022631 MEDICAL LICENSE

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