Logan, Brent Justin

Logan, Brent Justin is an individual health care provider with primary practice located at 1814 Westchester Dr Ste. 203, High Point NC 27262-7299. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Logan, Brent Justin can be contacted via phone (336) 802-2100.

Contact Information

Primary practice address
1814 Westchester Dr Ste. 203 High Point NC 27262-7299
Phone: (336) 802-2100
Fax: (336) 802-2101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 50417 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101254581 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50417 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 0101254581 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007-01471 North Carolina

Profile Details

NPI number 1619166253
LBN Legal business name Logan, Brent Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Oct 25th, 2016 - about 9 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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