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
Phone: (505) 262-7223
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
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