Logie, Genevieve A

Logie, Genevieve A is an individual health care provider with primary practice located at 1001 Riverside Ave Mott Building, Medicine-2, Roseville CA 95678-5134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Logie, Genevieve A can be contacted via phone (916) 936-5380.

Contact Information

Primary practice address
1001 Riverside Ave Mott Building, Medicine-2 Roseville CA 95678-5134
Phone: (916) 936-5380
Fax: (916) 746-4553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101238671 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C139040 California

Profile Details

NPI number 1215909437
LBN Legal business name Logie, Genevieve A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 10th, 2022 - about 3 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 1215909437 NPPES
Virginia Other C06778 GROUP PTAN
Virginia Other 188196 GROUP PTAN
Virginia MEDICAID 010236711 GROUP PTAN
Virginia MEDICAID 010236746 GROUP PTAN
Virginia Other P00321250 GROUP PTAN
Virginia Other 185382 GROUP PTAN
Virginia Other P00283213 GROUP PTAN

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