Logiudice, John Anthony
Logiudice, John Anthony is an individual health care provider with primary practice located at 1155 N Mayfair Rd Plastic Surgery Center, Milwaukee WI 53226-3462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Logiudice, John Anthony can be contacted via phone (414) 955-1000.Contact Information
Primary practice address
1155 N Mayfair Rd Plastic Surgery Center
Milwaukee WI 53226-3462
Phone: (414) 955-1000
Fax: (414) 955-0183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 45547020 | Wisconsin |
Profile Details
| NPI number | 1669567905 |
|---|---|
| LBN Legal business name | Logiudice, John Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Nov 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669567905 | NPPES |
| Wisconsin | MEDICAID | 1669567905 |
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