Galicia-Castillo, Marissa Caganap

Galicia-Castillo, Marissa Caganap is an individual health care provider with primary practice located at 825 Fairfax Ave Suite 201, Norfolk VA 23507-1914. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Galicia-Castillo, Marissa Caganap can be contacted via phone (757) 446-7040.

Contact Information

Primary practice address
825 Fairfax Ave Suite 201 Norfolk VA 23507-1914
Phone: (757) 446-7040
Fax: (757) 446-7049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101102563 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101102563 Virginia
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 0101102563 Virginia

Profile Details

NPI number 1144294182
LBN Legal business name Galicia-Castillo, Marissa Caganap
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 18th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144294182 NPPES
North Carolina Other 063AG BC/BS
North Carolina Other PAR BC/BS
North Carolina Other PAR BC/BS
North Carolina Other PAR BC/BS
North Carolina Other 451669 BC/BS
North Carolina MEDICAID 89063AG BC/BS
North Carolina Other PAR BC/BS
North Carolina Other PAR BC/BS
North Carolina Other PAR BC/BS
North Carolina Other -022 BC/BS
North Carolina MEDICAID 005839670 BC/BS
North Carolina Other PAR BC/BS
North Carolina Other 382619 BC/BS
North Carolina Other 27711 BC/BS
North Carolina Other PAR BC/BS

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