Logan, John Landiss

Logan, John Landiss is an individual health care provider with primary practice located at 2005 E 18Th Ave , Denver CO 80206-1109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Logan, John Landiss can be contacted via phone (303) 321-4212.

Contact Information

Primary practice address
2005 E 18Th Ave Denver CO 80206-1109
Phone: (303) 321-4212
Fax: (303) 388-2459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 32200 Colorado

Profile Details

NPI number 1124020771
LBN Legal business name Logan, John Landiss
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jun 24th, 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 1124020771 NPPES
Colorado MEDICAID 01322007
Colorado Other 340012614

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