Logie, Bradley Dwight
Logie, Bradley Dwight is an sole proprietor health care provider with primary practice located at 2776 Ringgold Road Attn: Credentials Coordinator, Fort Sill OK 73503-6300. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Logie, Bradley Dwight can be contacted via phone (580) 442-3905.Contact Information
Primary practice address
2776 Ringgold Road Attn: Credentials Coordinator
Fort Sill OK 73503-6300
Phone: (580) 442-3905
Fax: (580) 442-4002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | L117008 | Michigan |
Profile Details
| NPI number | 1073707519 |
|---|---|
| LBN Legal business name | Logie, Bradley Dwight |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Jan 7th, 2019 - about 5 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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