Logan, Sally Stephens

Logan, Sally Stephens is an sole proprietor health care provider with primary practice located at 1732 Buckley Arch , Virginia Beach VA 23453-7081. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Logan, Sally Stephens can be contacted via phone (757) 430-8256.

Contact Information

Primary practice address
1732 Buckley Arch Virginia Beach VA 23453-7081
Phone: (757) 430-8256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1023298650
LBN Legal business name Logan, Sally Stephens
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2007
Last updated Nov 12th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023298650 NPPES
Other 448386 REGISTRATION NUMBER

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