Logan, Denice Marie
Logan, Denice Marie is an individual health care provider with primary practice located at 80 68Th St Se , Grand Rapids MI 49548-6980. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Logan, Denice Marie can be contacted via phone (616) 391-8242.Contact Information
Primary practice address
80 68Th St Se
Grand Rapids MI 49548-6980
Phone: (616) 391-8242
Fax: (616) 391-8317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101008223 | Michigan |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 5101008223 | Michigan |
Profile Details
| NPI number | 1851473128 |
|---|---|
| LBN Legal business name | Logan, Denice Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | May 6th, 2014 - about 12 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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