Logan, James Russell

Logan, James Russell is an individual health care provider with primary practice located at 6470 Pentz Rd Suite A, Paradise CA 95969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Logan, James Russell can be contacted via phone (530) 872-6655.

Contact Information

Primary practice address
6470 Pentz Rd Suite A Paradise CA 95969
Phone: (530) 872-6655
Fax: (530) 872-6653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G72586 California

Profile Details

NPI number 1477584001
LBN Legal business name Logan, James Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 17th, 2013 - about 13 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 1477584001 NPPES
California Other ZZZ01920Z BLUE SHIELD

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