Oney, Logan A

Oney, Logan A is an individual health care provider with primary practice located at 22631 Greater Mack Ave. Suite 100, St Clair Shores MI 48080-2055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Oney, Logan A can be contacted via phone (313) 885-2334.

Contact Information

Primary practice address
22631 Greater Mack Ave. Suite 100 St Clair Shores MI 48080-2055
Fax: (313) 885-9181
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042225 Michigan

Profile Details

NPI number 1740397207
LBN Legal business name Oney, Logan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 30th, 2018 - about 7 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 1740397207 NPPES
Michigan MEDICAID 1350282

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