Logan, Etienne Fox

Logan, Etienne Fox is an individual health care provider with primary practice located at 1258 Holland Rd , Suffolk VA 23434-6313. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Logan, Etienne Fox can be contacted via phone (757) 809-4771.

Contact Information

Primary practice address
1258 Holland Rd Suffolk VA 23434-6313
Phone: (757) 809-4771
Fax: (757) 809-4932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0732005011 Virginia

Profile Details

NPI number 1346712478
LBN Legal business name Logan, Etienne Fox
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2018
Last updated Dec 31st, 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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