Logan, Joy L

Logan, Joy L is an individual health care provider with primary practice located at 4475 S L-19 Frontage Road Suite 101, Green Valley AZ 85614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Logan, Joy L can be contacted via phone (520) 585-4590.

Contact Information

Primary practice address
4475 S L-19 Frontage Road Suite 101 Green Valley AZ 85614
Fax: (520) 398-7540
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 10447 Arizona

Profile Details

NPI number 1285732859
LBN Legal business name Logan, Joy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 28th, 2018 - about 8 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 1285732859 NPPES
Arizona MEDICAID 241711

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