Mcdaniel, Joshua Logan

Mcdaniel, Joshua Logan is an individual health care provider with primary practice located at 647 Dunlop Ln Ste 203 , Clarksville TN 37040-5165. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mcdaniel, Joshua Logan can be contacted via phone (931) 502-3700.

Contact Information

Primary practice address
647 Dunlop Ln Ste 203 Clarksville TN 37040-5165
Phone: (931) 502-3700
Fax: (931) 502-3705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA6323 Tennessee

Profile Details

NPI number 1528698404
LBN Legal business name Mcdaniel, Joshua Logan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2020
Last updated Apr 29th, 2026 - about 6 months 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 1528698404 NPPES
Tennessee MEDICAID Q100219

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