Logue-Johnson, Staci A

Logue-Johnson, Staci A is an individual health care provider with primary practice located at 5150 Journal Center Blvd Ne , Albuquerque NM 87109-5900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Logue-Johnson, Staci A can be contacted via phone (505) 262-7223.

Contact Information

Primary practice address
5150 Journal Center Blvd Ne Albuquerque NM 87109-5900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X PA2003-0020 New Mexico
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X PA2003-0020 New Mexico

Profile Details

NPI number 1922014646
LBN Legal business name Logue-Johnson, Staci A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 9th, 2018 - about 6 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.

Request for update

Popular Providers