Logan, Jonathan

Logan, Jonathan is an sole proprietor health care provider with primary practice located at 201 Parrish St , Canandaigua NY 14424-1727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Logan, Jonathan can be contacted via phone (585) 394-6070.

Contact Information

Primary practice address
201 Parrish St Canandaigua NY 14424-1727
Phone: (585) 394-6070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 089645 New York

Profile Details

NPI number 1609871573
LBN Legal business name Logan, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jan 26th, 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 1609871573 NPPES
New York Other P010089546 EXCELLUS BLUE CHOICE
New York Other 1360 EXCELLUS BLUE CHOICE
New York Other 100497AA EXCELLUS BLUE CHOICE
New York Other 00025452201 EXCELLUS BLUE CHOICE
New York Other 030001160 EXCELLUS BLUE CHOICE
New York Other 100497DT EXCELLUS BLUE CHOICE
New York Other 5176319 EXCELLUS BLUE CHOICE

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