Logsdon, Phillip K

Logsdon, Phillip K is an individual health care provider with primary practice located at 1802 S. Mattis Avenue Orthopedics, Champaign IL 61821. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Logsdon, Phillip K can be contacted via phone (217) 383-3260.

Contact Information

Primary practice address
1802 S. Mattis Avenue Orthopedics Champaign IL 61821
Phone: (217) 383-3260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003166 Illinois

Profile Details

NPI number 1043230089
LBN Legal business name Logsdon, Phillip K
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated May 7th, 2014 - about 10 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 1043230089 NPPES
Illinois Other 480014262 RAILROAD

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