Logue, Andrew Douglas
Logue, Andrew Douglas is an sole proprietor health care provider with primary practice located at 20 Nassau St Suite 513, Princeton NJ 08542-4509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Logue, Andrew Douglas can be contacted via phone (609) 683-9791.Contact Information
Primary practice address
20 Nassau St Suite 513
Princeton NJ 08542-4509
Phone: (609) 683-9791
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | MA49090 | New Jersey |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MA49090 | New Jersey |
Profile Details
| NPI number | 1447241377 |
|---|---|
| LBN Legal business name | Logue, Andrew Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1447241377 | NPPES |
| New Jersey | MEDICAID | 6150209 |
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