Logan, Kenneth D
Logan, Kenneth D is an sole proprietor health care provider with primary practice located at 15151 Little Ron Rd , Chico CA 95973-9455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Logan, Kenneth D can be contacted via phone (530) 571-2034.Contact Information
Primary practice address
15151 Little Ron Rd
Chico CA 95973-9455
Phone: (530) 571-2034
Fax: (530) 896-4893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G50800 | California |
Profile Details
| NPI number | 1962407825 |
|---|---|
| LBN Legal business name | Logan, Kenneth D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Feb 3rd, 2010 - about 15 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 | 1962407825 | NPPES |
| California | MEDICAID | 00G508000 |
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