Logee, Mary Jo

Logee, Mary Jo is an individual health care provider with primary practice located at 3373 Commerce Pkwy Suite 2, Wooster OH 44691-7130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Logee, Mary Jo can be contacted via phone (330) 804-9712.

Contact Information

Primary practice address
3373 Commerce Pkwy Suite 2 Wooster OH 44691-7130
Phone: (330) 804-9712
Fax: (330) 804-9717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X 35061022 Ohio

Profile Details

NPI number 1184622912
LBN Legal business name Logee, Mary Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 12th, 2009 - about 17 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 1184622912 NPPES
Ohio MEDICAID 0891512

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