Logan, Jennifer P

Logan, Jennifer P is an individual health care provider with primary practice located at 6715 Antigua Dr , Fort Collins CO 80525-9433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Logan, Jennifer P can be contacted via phone (970) 372-0696.

Contact Information

Primary practice address
6715 Antigua Dr Fort Collins CO 80525-9433
Phone: (970) 372-0696
Fax: (970) 372-0696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 50382 Colorado
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 198357 New York

Profile Details

NPI number 1427051671
LBN Legal business name Logan, Jennifer P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 25th, 2011 - about 13 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 1427051671 NPPES
New York MEDICAID 01787306

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