Logan, Joseph Willis

Logan, Joseph Willis is an individual health care provider with primary practice located at 1325 Spring St , Greenwood SC 29646-3860. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Logan, Joseph Willis can be contacted via phone (864) 725-4780.

Contact Information

Primary practice address
1325 Spring St Greenwood SC 29646-3860
Phone: (864) 725-4780
Fax: (864) 725-4778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 8327 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8327 South Carolina

Profile Details

NPI number 1396755054
LBN Legal business name Logan, Joseph Willis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 3rd, 2014 - about 11 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 1396755054 NPPES
South Carolina MEDICAID 083279

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