Fields, Logan Kamrath
Fields, Logan Kamrath is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fields, Logan Kamrath can be contacted via phone (706) 549-1663.Contact Information
Primary practice address
1765 Old West Broad St
Athens GA 30606
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 71733 | Georgia |
Profile Details
NPI number | 1073774402 |
---|---|
LBN Legal business name | Fields, Logan Kamrath |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2008 |
Last updated | Mar 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073774402 | NPPES |
Georgia | Other | 12455413 | CAQH |
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