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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

NPI # 1831399278
LBN Legal business name P C LOGAN MD INC
Authorized official PATRICK LOGAN - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2007
Last updated 07/24/2007 - About 19 years ago
Identifiers
IN License # 01020481A
IN Medicaid 100055560A
IN Other 000000082565 ANTHEM BLUE CROSS & BLUE
IN Other 072068448 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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