Logan, James Joseph

Logan, James Joseph is an individual health care provider with primary practice located at 1040 Division St , Mauston WI 53948-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Logan, James Joseph can be contacted via phone (608) 847-5000.

Contact Information

Primary practice address
1040 Division St Mauston WI 53948-1931
Phone: (608) 847-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24202 Wisconsin

Profile Details

NPI number 1851388334
LBN Legal business name Logan, James Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
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 1851388334 NPPES
Wisconsin MEDICAID 30425100

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