Corey, Logan

Corey, Logan is an sole proprietor health care provider with primary practice located at 1005 Pinellas St , Clearwater FL 33756-3432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Corey, Logan can be contacted via phone (727) 446-2111.

Contact Information

Primary practice address
1005 Pinellas St Clearwater FL 33756-3432
Phone: (727) 446-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301502677 Michigan
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X ME162878 Florida

Profile Details

NPI number 1568824571
LBN Legal business name Corey, Logan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2016
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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Identifiers

StateTypeNumberIssuer
All States NPI 1568824571 NPPES
Florida MEDICAID 119449900

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