Logan, Jocelyn Marie
Logan, Jocelyn Marie is an sole proprietor health care provider with primary practice located at 7895 Grand Blvd , Hobart IN 46342-6665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Logan, Jocelyn Marie can be contacted via phone (219) 947-1910.Contact Information
Primary practice address
7895 Grand Blvd
Hobart IN 46342-6665
Phone: (219) 947-1910
Fax: (219) 947-3117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01078708A | Indiana |
Profile Details
| NPI number | 1801962253 |
|---|---|
| LBN Legal business name | Logan, Jocelyn Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jun 13th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801962253 | NPPES |
| Ohio | MEDICAID | 3087001 | |
| Ohio | MEDICAID | 201002790 | |
| Ohio | MEDICAID | 7100124610 |
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