Loggan, Michael B

Loggan, Michael B is an individual health care provider with primary practice located at 2521 Glenn Hendren Dr Suite 402, Liberty MO 64068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Loggan, Michael B can be contacted via phone (816) 781-8445.

Contact Information

Primary practice address
2521 Glenn Hendren Dr Suite 402 Liberty MO 64068
Fax: (816) 781-8413
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MDR7E84 Missouri

Profile Details

NPI number 1336128552
LBN Legal business name Loggan, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Aug 20th, 2018 - about 8 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 1336128552 NPPES
Missouri Other 13710013 BCBS
Missouri MEDICAID 202556403 BCBS

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