Martin, Logan Curran

Martin, Logan Curran is an individual health care provider with primary practice located at 1211 Dinah Shore Blvd , Winchester TN 37398-1107. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martin, Logan Curran can be contacted via phone (931) 967-6669.

Contact Information

Primary practice address
1211 Dinah Shore Blvd Winchester TN 37398-1107
Fax: (931) 967-6606
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4357 Tennessee

Profile Details

NPI number 1508463365
LBN Legal business name Martin, Logan Curran
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2020
Last updated Aug 1st, 2023 - 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 1508463365 NPPES
Tennessee MEDICAID Q063418

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