Logan, Lewis Paul
Logan, Lewis Paul is an individual health care provider with primary practice located at 358 Student Health Center , University Park PA 16802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Logan, Lewis Paul can be contacted via phone (814) 863-8874.Contact Information
Primary practice address
358 Student Health Center
University Park PA 16802
Phone: (814) 863-8874
Fax: (814) 863-8464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-022802-E | Pennsylvania |
Profile Details
| NPI number | 1750409173 |
|---|---|
| LBN Legal business name | Logan, Lewis Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Mar 4th, 2014 - about 12 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 | 1750409173 | NPPES |
| Pennsylvania | Other | LO112086 | BLUE SHIELD |
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