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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 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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