Fannin, Stephen Dale
Fannin, Stephen Dale is an sole proprietor health care provider with primary practice located at 2801 Turnpike Rd , Portsmouth VA 23707-4630. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Fannin, Stephen Dale can be contacted via phone (757) 393-8766.Contact Information
Primary practice address
2801 Turnpike Rd
Portsmouth VA 23707-4630
Phone: (757) 393-8766
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
NPI number | 1417459132 |
---|---|
LBN Legal business name | Fannin, Stephen Dale |
Credentials | ED.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2018 |
Last updated | Mar 8th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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