Logvinoff, Marie M.
Logvinoff, Marie M. is an individual health care provider with primary practice located at 4800 Alberta Ave , El Paso TX 79905-2709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Logvinoff, Marie M. can be contacted via phone (915) 545-6920.Contact Information
Primary practice address
4800 Alberta Ave
El Paso TX 79905-2709
Phone: (915) 545-6920
Fax: (915) 545-9799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | F7825 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | F7825 | Texas |
Profile Details
| NPI number | 1407963937 |
|---|---|
| LBN Legal business name | Logvinoff, Marie M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Nov 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407963937 | NPPES |
| Texas | MEDICAID | 138711012 |
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