Logan, Jennifer L

Logan, Jennifer L is an individual health care provider with primary practice located at 1701 4Th St Ste 210 , Santa Rosa CA 95404-3661. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Logan, Jennifer L can be contacted via phone (707) 578-7530.

Contact Information

Primary practice address
1701 4Th St Ste 210 Santa Rosa CA 95404-3661
Phone: (707) 578-7530
Fax: (707) 578-7533
Website:
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Health care specialties

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

Profile Details

NPI number 1639620768
LBN Legal business name Logan, Jennifer L
Credentials RD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2016
Last updated Nov 1st, 2018 - about 8 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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