Logan, John Landiss
Logan, John Landiss is an individual health care provider with primary practice located at 2005 E 18Th Ave , Denver CO 80206-1109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Logan, John Landiss can be contacted via phone (303) 321-4212.Contact Information
Primary practice address
2005 E 18Th Ave
Denver CO 80206-1109
Phone: (303) 321-4212
Fax: (303) 388-2459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 32200 | Colorado |
Profile Details
| NPI number | 1124020771 |
|---|---|
| LBN Legal business name | Logan, John Landiss |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jun 24th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124020771 | NPPES |
| Colorado | MEDICAID | 01322007 | |
| Colorado | Other | 340012614 |
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