Logan, Jerry W

Logan, Jerry W is an individual health care provider with primary practice located at 2519 E Main St , Richmond IN 47374-5867. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Logan, Jerry W can be contacted via phone (765) 966-2661.

Contact Information

Primary practice address
2519 E Main St Richmond IN 47374-5867
Phone: (765) 966-2661
Fax: (765) 965-4789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001503B Indiana

Profile Details

NPI number 1043370125
LBN Legal business name Logan, Jerry W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Apr 10th, 2008 - 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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