Logston, Bradley J.

Logston, Bradley J. is an individual health care provider with primary practice located at 9613 Sandifur Pkwy Ste A , Pasco WA 99301-8028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Logston, Bradley J. can be contacted via phone (509) 943-8839.

Contact Information

Primary practice address
9613 Sandifur Pkwy Ste A Pasco WA 99301-8028
Phone: (509) 943-8839
Fax: (509) 943-8851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OP60219543 Washington

Profile Details

NPI number 1073752085
LBN Legal business name Logston, Bradley J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2009
Last updated May 10th, 2024 - about last year

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 1073752085 NPPES
Washington MEDICAID 2040768

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