# MR. ROBERT JOSHUA LOGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699105304
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 1630 | WV | — |
| 363A00000X | Physician Assistant | 2096 | WV | — |
| 363A00000X | Physician Assistant | 50.006077RX | OH | — |
| 363A00000X | Physician Assistant | PA2372 | KY | Yes |
| 363A00000X | Physician Assistant | TC717 | KY | — |

## Other

- **Enumeration date:** 11/15/2013
- **Last updated:** 12/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0243582 | — | OH |
| 05 | — | 7100515940 | — | KY |