Loretta Michelle Logan in Bronx - Primary Podiatric Medicine
Loretta Michelle Logan - NPI 1821060492
Loretta Michelle Logan is a Primary Podiatric Medicine in Bronx, New York. Loretta Michelle Logan practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Loretta Michelle Logan is 1821060492. The last update date is 2009-12-02.
Loretta Michelle Logan's current location address is 3307 Hunter Ave, Bronx, New York. You can contact this provider via phone number 7186765262. The mailing address for Loretta Michelle Logan is 3307 Hunter Ave, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Loretta Michelle Logan |
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Address | 3307 Hunter Ave, Bronx, New York |
Phone Number | 7186765262 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DPM |
NPI Number Detail
NPI Number | 1821060492 |
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Provider Enumeration Date | 2006-02-07 |
Last Updated Date | 2009-12-02 |
Provider Mailing Address Detail
Address | 3307 Hunter Ave |
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City | Bronx |
State | New York (NY) |
Post Code | 104751543 |
Phone Number | 7186765262 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Primary Podiatric Medicine |
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Taxonomy | 213Ep1101X |
Licence No | NOO4658 |
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
480026772 | NY | RAILROAD MEDICARE | |
1148892 | NY | -- |
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What is the unique provider identifier assigned to Loretta Michelle Logan?
The Loretta Michelle Logan has been issued the NPI (National Provider Identifier) 1821060492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Loretta Michelle Logan?
The Loretta Michelle Logan is physically situated at 3307 Hunter Ave, in the city of Bronx, state of NY, with the postal code 104751543.
What is Loretta Michelle Logan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Loretta Michelle Logan is Primary Podiatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 213Ep1101X.
On what date did the Loretta Michelle Logan receive the assignment of its 1821060492 from the Centers for Medicare & Medicaid Services?
The Loretta Michelle Logan was issued its 1821060492 by the Centers for Medicare & Medicaid Services on 2006-02-07.
When was the information related to Loretta Michelle Logan most recently updated or refreshed?
The details pertaining to the Loretta Michelle Logan, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-02.
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