Jones, Logan D

Jones, Logan D is an individual health care provider with primary practice located at 208 W Casablanca Ave Bldg 1400 , Cannon Afb NM 88103-5009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Jones, Logan D can be contacted via phone (575) 784-7801.

Contact Information

Primary practice address
208 W Casablanca Ave Bldg 1400 Cannon Afb NM 88103-5009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 58413 Colorado

Profile Details

NPI number 1558504068
LBN Legal business name Jones, Logan D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2009
Last updated Apr 25th, 2022 - about 3 years ago

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 1558504068 NPPES
Colorado MEDICAID 9000193604

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