Logue, Lloyd G

Logue, Lloyd G is an individual health care provider with primary practice located at 527 N Palo Alto Ave , Panama City FL 32401-3639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Logue, Lloyd G can be contacted via phone (850) 763-2451.

Contact Information

Primary practice address
527 N Palo Alto Ave Panama City FL 32401-3639
Fax: (850) 747-4907
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS9177 Florida

Profile Details

NPI number 1992776066
LBN Legal business name Logue, Lloyd G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Dec 31st, 2009 - about 16 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 1992776066 NPPES
Florida MEDICAID 269984200
Florida Other 44037

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