Grimes, Logan Phillip

Grimes, Logan Phillip is an individual health care provider with primary practice located at 3401 Civic Center Blvd Rm Division , Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Grimes, Logan Phillip can be contacted via phone (215) 590-2017.

Contact Information

Primary practice address
3401 Civic Center Blvd Rm Division Philadelphia PA 19104-4319
Phone: (215) 590-2017
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD475081 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD475081 Pennsylvania

Profile Details

NPI number 1568955664
LBN Legal business name Grimes, Logan Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2018
Last updated Sep 26th, 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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