Logan, Suzanna
Logan, Suzanna is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Logan, Suzanna can be contacted via phone (414) 328-7950.Contact Information
Primary practice address
8901 W Lincoln Ave
West Allis WI 53227-2409
Phone: (414) 328-7950
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 68475 | Minnesota |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 76828-20 | Wisconsin |
Profile Details
NPI number | 1942664388 |
---|---|
LBN Legal business name | Logan, Suzanna |
Credentials | M.D., PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2016 |
Last updated | Nov 13th, 2023 - about 2 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 | 1942664388 | NPPES |
Wisconsin | Other | 76828-20 | STATE OF WISCONSIN MEDICAL EXAMINING BOARD |
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