Logan Bryant Colbaugh, is a
Student In An Organized Health Care Education/training Program based in Chattanooga, Tennessee. Logan Bryant Colbaugh is licensed to practice in * (Not Available) (license number ) and his current practice location is
615 Mccallie Ave, Chattanooga, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 425-1741.
NPI number for Logan Bryant Colbaugh is 1245040856 and his current mailing address is 344 Old Mcclure Rd Se, Cleveland, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245040856.
Provider's Profile
| Full Name | Logan Bryant Colbaugh |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 615 Mccallie Ave, Chattanooga, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245040856
- Provider Enumeration Date: 01/08/2025
- Last Update Date: 01/08/2025
Medical Identifiers
Medical identifiers for Logan Bryant Colbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245040856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0000253901 (Tennessee) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Logan Bryant Colbaugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Logan Bryant Colbaugh,
344 Old Mcclure Rd Se,
Cleveland, TN 37323-8340
Ph: (423) 464-1413 | Logan Bryant Colbaugh,
615 Mccallie Ave,
Chattanooga, TN 37403-2504
Ph: (423) 425-1741 |
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