Logan, William J

Logan, William J is an individual health care provider with primary practice located at 100 E Carroll St , Salisbury MD 21801-5422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Logan, William J can be contacted via phone (410) 546-6400.

Contact Information

Primary practice address
100 E Carroll St Salisbury MD 21801-5422
Phone: (410) 546-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D0022025 Maryland
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C1-0005172 Delaware

Profile Details

NPI number 1336213552
LBN Legal business name Logan, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 16th, 2016 - about 10 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 1336213552 NPPES
Maryland MEDICAID 338221402

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