Logan, Theresa C

Logan, Theresa C is an individual health care provider with primary practice located at 7621 Tremayne Pl Apt 213 , Mc Lean VA 22102-7609. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Logan, Theresa C can be contacted via phone (704) 651-6781.

Contact Information

Primary practice address
7621 Tremayne Pl Apt 213 Mc Lean VA 22102-7609
Phone: (704) 651-6781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DX4428 Maryland
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1211 South Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI100001004 District of Columbia

Profile Details

NPI number 1356819445
LBN Legal business name Logan, Theresa C
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2018
Last updated Nov 6th, 2018 - about 7 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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