Logan, Jason A.

Logan, Jason A. is an sole proprietor health care provider with primary practice located at 7600 S Lewis Ave , Tulsa OK 74136-6836. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Logan, Jason A. can be contacted via phone (731) 228-9778.

Contact Information

Primary practice address
7600 S Lewis Ave Tulsa OK 74136-6836
Phone: (731) 228-9778
Fax: (918) 493-7813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 22922 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22922 Oklahoma

Profile Details

NPI number 1245220144
LBN Legal business name Logan, Jason A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated Jan 30th, 2010 - about 16 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 1245220144 NPPES
Oklahoma MEDICAID 200018630A

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