Active NPIIndividual provider

Dr. Theodore P Logan, MD

Psychiatry & Neurology, Psychiatry in Rockland, Maine

NPI Number1427054873
Practice location
12 Union St, Rockland, ME 04841-2739
Fax
207-701-4487
Last updated
March 21, 2017

Theodore P. Logan is a Psychiatry & Neurology, Psychiatry based in Rockland, ME. Theodore P. Logan practices in Rockland, ME and has the professional credentials of MD. The NPI Number for Theodore P. Logan is 1427054873 and holds a License No. 012617 (ME). The current practice location address for Theodore P. Logan is 12 Union St, Rockland, ME 04841-2739 and can be reached out via phone at 207-701-4400 and via fax at 207-701-4487.

Provider Profile Details

NPI Number
1427054873
Provider Name
Theodore P. Logan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Union St, Rockland, ME 04841-2739
Phone Number
207-701-4400
Fax Number
207-701-4487
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2005
Last Update Date
March 21, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Union St
Rockland, ME 04841-2739
State
Maine
Zip
04841-2739
Phone Number
207-701-4400
Fax Number
207-701-4487
Rockland, ME 04841Get directions →

Provider Business Mailing Address Details

Address
300 Southborough Dr
Suite 201
South Portland, ME 04106-6914
City
South Portland
State
ME
Zip
04106-6914
Phone Number
207-661-2018
Fax Number
207-661-2033

License Information

License Number (1)
012617
License State (1)
ME
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
MD12617
License State (2)
ME
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
License Number (3)
MD12617
License State (3)
ME

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Theodore P Logan, MD?

The NPI number of Dr. Theodore P Logan, MD is 1427054873. It was assigned on June 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Theodore P Logan, MD?

Dr. Theodore P Logan, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in ME under license number 012617.

Where does Dr. Theodore P Logan, MD practice?

The practice location is 12 Union St, Rockland, ME 04841-2739. The office can be reached at 207-701-4400 (phone) or 207-701-4487 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427054873 directly on the NPPES registry website.

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