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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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