Individual
DR. JAY P LOGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 572-8720
Mailing address
1544 SOLUTIONS CTR, CHICAGO, IL 60677-1005
(513) 791-1224
(513) 984-2692
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-052624
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020029015
RR MEDICARE
OH
05
—
0807318
—
OH
05
—
64090921
—
KY
Enumeration date
02/24/2006
Last updated
02/27/2024
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