Logan, Andrea F

Logan, Andrea F is an individual health care provider with primary practice located at 1129 Ocean Springs Rd , Ocean Springs MS 39564-3421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Logan, Andrea F can be contacted via phone (228) 818-5008.

Contact Information

Primary practice address
1129 Ocean Springs Rd Ocean Springs MS 39564-3421
Phone: (228) 818-5008
Fax: (228) 818-5012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AU5009697 1339 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21719 Mississippi

Profile Details

NPI number 1407019375
LBN Legal business name Logan, Andrea F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Feb 4th, 2020 - about 6 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 1407019375 NPPES
Mississippi MEDICAID 08607835
Mississippi Other 21719

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