Healthcare Provider Details

I. General information

NPI: 1508780560
Provider Name (Legal Business Name): LOGAN ARMOUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 SHORE DR STE 108
VIRGINIA BEACH VA
23455-2859
US

IV. Provider business mailing address

649 E LEICESTER AVE APT A8
NORFOLK VA
23503-3654
US

V. Phone/Fax

Practice location:
  • Phone: 757-321-7776
  • Fax:
Mailing address:
  • Phone: 732-693-9925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104558189
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: