Logan, William Sumner

Logan, William Sumner is an individual health care provider with primary practice located at 1928 Randolph Rd Suite 316, Charlotte NC 28207-1105. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Logan, William Sumner can be contacted via phone (704) 344-8846.

Contact Information

Primary practice address
1928 Randolph Rd Suite 316 Charlotte NC 28207-1105
Phone: (704) 344-8846
Fax: (704) 369-7999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15969 North Carolina

Profile Details

NPI number 1013984996
LBN Legal business name Logan, William Sumner
Credentials B.SC., M.SC., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1013984996 NPPES
North Carolina MEDICAID 8952485

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