Logan, William R

Logan, William R is an sole proprietor health care provider with primary practice located at 621 S New Ballas Rd Ste 5003-B, St Louis MO 63141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Logan, William R can be contacted via phone (314) 227-2020.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 5003-B St Louis MO 63141
Phone: (314) 227-2020
Fax: (314) 227-2021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X R1A50 Missouri

Profile Details

NPI number 1750311395
LBN Legal business name Logan, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Dec 7th, 2009 - about 16 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 1750311395 NPPES
Missouri MEDICAID 202000006LO

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