Logsdon, Martin Thomas

Logsdon, Martin Thomas is an sole proprietor health care provider with primary practice located at 1700 Bluegrass Avenue Suite 300, Louisville KY 40215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Logsdon, Martin Thomas can be contacted via phone (502) 363-1841.

Contact Information

Primary practice address
1700 Bluegrass Avenue Suite 300 Louisville KY 40215
Phone: (502) 363-1841
Fax: (502) 366-3317
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20406 Kentucky

Profile Details

NPI number 1538110424
LBN Legal business name Logsdon, Martin Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Aug 16th, 2011 - about 14 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 1538110424 NPPES
Kentucky MEDICAID 64204068
Kentucky Other 1069483
Kentucky Other 000000047754

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