Logue, Amanda Case

Logue, Amanda Case is an individual health care provider with primary practice located at 1214 Coolidge Blvd. Suite C50, Lafayette LA 70503. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Logue, Amanda Case can be contacted via phone (337) 237-7927.

Contact Information

Primary practice address
1214 Coolidge Blvd. Suite C50 Lafayette LA 70503
Phone: (337) 237-7927
Fax: (337) 289-7935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 203343 Louisiana

Profile Details

NPI number 1821211269
LBN Legal business name Logue, Amanda Case
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated May 1st, 2012 - about 14 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 1821211269 NPPES
Louisiana MEDICAID 1810941

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