Logan, Scott D

Logan, Scott D is an individual health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Logan, Scott D can be contacted via phone (740) 356-8117.

Contact Information

Primary practice address
1805 27Th St Portsmouth OH 45662-2640
Fax: (740) 353-1214
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35077928 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MC-167 Guam

Profile Details

NPI number 1154321867
LBN Legal business name Logan, Scott D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Mar 25th, 2024 - about 6 months 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 1154321867 NPPES
Ohio Other P00187419 SOM RR MDCR PIN NO
Ohio MEDICAID 2207472 SOM RR MDCR PIN NO
Ohio MEDICAID 64029481 SOM RR MDCR PIN NO

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