Logan, Patrick Clifford

Logan, Patrick Clifford is an sole proprietor health care provider with primary practice located at 1910 N Arlington Ave , Indianapolis IN 46218-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Logan, Patrick Clifford can be contacted via phone (317) 359-5358.

Contact Information

Primary practice address
1910 N Arlington Ave Indianapolis IN 46218-5128
Phone: (317) 359-5358
Fax: (317) 359-5358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01020481A Indiana

Profile Details

NPI number 1992704290
LBN Legal business name Logan, Patrick Clifford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Oct 9th, 2013 - about 12 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 1992704290 NPPES
Indiana MEDICAID 100055560A
Indiana Other 072068448

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