Logan, Jennifer Coleman

Logan, Jennifer Coleman is an individual health care provider with primary practice located at 241B Freedom Way Jacksonville Va Cboc, Jacksonville NC 28544-1418. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Logan, Jennifer Coleman can be contacted via phone (619) 246-6030.

Contact Information

Primary practice address
241B Freedom Way Jacksonville Va Cboc Jacksonville NC 28544-1418
Phone: (619) 246-6030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2007-00233 North Carolina

Profile Details

NPI number 1457344376
LBN Legal business name Logan, Jennifer Coleman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Dec 29th, 2011 - about 14 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 1457344376 NPPES
North Carolina MEDICAID 5907908

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