Kupitz, Logan

Kupitz, Logan is an individual health care provider with primary practice located at 4095 E Pony Express Pkwy Ste 1 , Eagle Mountain UT 84005-5531. 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. Kupitz, Logan can be contacted via phone (801) 429-8037.

Contact Information

Primary practice address
4095 E Pony Express Pkwy Ste 1 Eagle Mountain UT 84005-5531
Phone: (801) 429-8037
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11353339-1206 Utah

Profile Details

NPI number 1891343950
LBN Legal business name Kupitz, Logan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2019
Last updated May 13th, 2022 - about 4 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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