Logan, Donald R

Logan, Donald R is an individual health care provider with primary practice located at 703 Riverway Pl , Bedford NH 03110-6768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Logan, Donald R can be contacted via phone (603) 668-7096.

Contact Information

Primary practice address
703 Riverway Pl Bedford NH 03110-6768
Phone: (603) 668-7096
Fax: (603) 669-6944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 10868 New Hampshire

Profile Details

NPI number 1568426385
LBN Legal business name Logan, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1568426385 NPPES
New Hampshire Other 01Y002303 NH05 ANTHEM-MCH TAX ID
New Hampshire Other 01Y002303NH02 ANTHEM-MCH TAX ID
New Hampshire Other 2285319 ANTHEM-MCH TAX ID
New Hampshire Other 010868 ANTHEM-MCH TAX ID
New Hampshire Other 294662 ANTHEM-MCH TAX ID
New Hampshire MEDICAID 30200557 ANTHEM-MCH TAX ID

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