Shaun M Logan, DPT
Physical Therapist in Sewell, New Jersey
1750686218- Practice location
- 90 Goodwin Pkwy, Sewell, NJ 08080-9446
- Phone
- 856-889-6589
- Fax
- 856-888-9658
- Last updated
- August 30, 2015
Shaun Michael Logan is a Physical Therapist based in Sewell, NJ. Shaun Michael Logan practices in Sewell, NJ and has the professional credentials of DPT. The NPI Number for Shaun Michael Logan is 1750686218 and holds a License No. 40QA01362900 (NJ). The current practice location address for Shaun Michael Logan is 90 Goodwin Pkwy, Sewell, NJ 08080-9446 and can be reached out via phone at 856-889-6589 and via fax at 856-888-9658.
Provider Profile Details
- NPI Number
- 1750686218
- Provider Name
- Shaun Michael Logan
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Goodwin Pkwy, Sewell, NJ 08080-9446
- Phone Number
- 856-889-6589
- Fax Number
- 856-888-9658
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 14, 2011
- Last Update Date
- August 30, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Goodwin Pkwy
Sewell, NJ 08080-9446 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-9446
- Phone Number
- 856-889-6589
- Fax Number
- 856-888-9658
Provider Business Mailing Address Details
- Address
- 90 Goodwin Pkwy
Sewell, NJ 08080-9446 - City
- Sewell
- State
- NJ
- Zip
- 08080-9446
- Phone Number
- 856-889-6589
- Fax Number
- 856-889-6589
License Information
- License Number
- 40QA01362900
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shaun M Logan, DPT?
The NPI number of Shaun M Logan, DPT is 1750686218. It was assigned on January 14, 2011 and is currently active in the NPPES registry.
What is the specialty of Shaun M Logan, DPT?
Shaun M Logan, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01362900.
Where does Shaun M Logan, DPT practice?
The practice location is 90 Goodwin Pkwy, Sewell, NJ 08080-9446. The office can be reached at 856-889-6589 (phone) or 856-888-9658 (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 1750686218 directly on the NPPES registry website.