Logan, Theodore F

Logan, Theodore F is an individual health care provider with primary practice located at 535 Barnhill Dr Rt 473, Indianapolis IN 46202-5112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Logan, Theodore F can be contacted via phone (317) 278-7576.

Contact Information

Primary practice address
535 Barnhill Dr Rt 473 Indianapolis IN 46202-5112
Phone: (317) 278-7576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01051224 Indiana

Profile Details

NPI number 1568428498
LBN Legal business name Logan, Theodore F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 10th, 2014 - about 11 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 1568428498 NPPES
Indiana MEDICAID 200243290

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