Anderson, Logan

Anderson, Logan is an individual health care provider with primary practice located at 132 5Th Ave W Ste 1&2 , Jerome ID 83338-1871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Logan can be contacted via phone (208) 814-9800.

Contact Information

Primary practice address
132 5Th Ave W Ste 1&2 Jerome ID 83338-1871
Phone: (208) 814-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-1750 Idaho

Profile Details

NPI number 1356916209
LBN Legal business name Anderson, Logan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2021
Last updated Jun 25th, 2024 - about last year

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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