Logan, Susan Lee
Logan, Susan Lee is an individual health care provider with primary practice located at 7780 N Fresno St Ste 100, Fresno CA 93720-2413. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Logan, Susan Lee can be contacted via phone (559) 500-4502.Contact Information
Primary practice address
7780 N Fresno St Ste 100
Fresno CA 93720-2413
Phone: (559) 500-4502
Fax: (559) 573-8749
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | A81958 | California |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | A81958 | California |
Profile Details
NPI number | 1831372242 |
---|---|
LBN Legal business name | Logan, Susan Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2007 |
Last updated | Nov 2nd, 2021 - about 3 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 | 1831372242 | NPPES |
California | Other | 00A819580 | MEDI-CAL |
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