Logan, Lee Daniel
Logan, Lee Daniel is an individual health care provider with primary practice located at 8845 Rhea County Hwy Suite 101, Dayton TN 37321-5926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Logan, Lee Daniel can be contacted via phone (423) 775-4261.Contact Information
Primary practice address
8845 Rhea County Hwy Suite 101
Dayton TN 37321-5926
Phone: (423) 775-4261
Fax: (423) 757-6988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO 1846 | Tennessee |
Profile Details
| NPI number | 1336188085 |
|---|---|
| LBN Legal business name | Logan, Lee Daniel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Feb 22nd, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336188085 | NPPES |
| Georgia | Other | 056887 | GEORGIA LICENSE |
| Georgia | Other | 4157006 | GEORGIA LICENSE |
| Georgia | Other | PTAN P00416016 | GEORGIA LICENSE |
| Georgia | Other | DO 1846 | GEORGIA LICENSE |
| Georgia | MEDICAID | 3300005 | GEORGIA LICENSE |
| Georgia | Other | 4718093 | GEORGIA LICENSE |
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