Basic Information
| Provider Information | |||||||||
| NPI: | 1174717995 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SALSMAN | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | ADKERSON | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3101 AMERICAN LEGION RD | ||||||||
| Address2: | SUITE 15 | ||||||||
| City: | CHESAPEAKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233215655 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574845516 | ||||||||
| FaxNumber: | 7574847881 | ||||||||
| Practice Location | |||||||||
| Address1: | 3101 AMERICAN LEGION RD | ||||||||
| Address2: | SUITE 15 | ||||||||
| City: | CHESAPEAKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233215655 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574845516 | ||||||||
| FaxNumber: | 7574847881 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2007 | ||||||||
| LastUpdateDate: | 09/05/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 807055 | TN | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.