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Contact Information

P C LOGAN MD INC
1910 N ARLINGTON AVE
INDIANAPOLIS, IN46218-5128
 Phone: 317-359-5357
 Fax: 317-359-5358
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for P C LOGAN MD INC · (Female)

NPI Number 1831399278
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2007
Last updated 07/24/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01020481A
  • IN Medicaid 100055560A
  • IN Other 000000082565 ANTHEM BLUE CROSS & BLUE
  • IN Other 072068448 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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