Tacastacas, Joselin D
Tacastacas, Joselin D is an individual health care provider with primary practice located at 1601 Commonwealth Ave , Williamsburg VA 23185-5125. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Tacastacas, Joselin D can be contacted via phone (757) 259-9466.Contact Information
Primary practice address
1601 Commonwealth Ave
Williamsburg VA 23185-5125
Phone: (757) 259-9466
Fax: (757) 259-7907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 010236219 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD28115 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101236219 | Virginia |
Profile Details
| NPI number | 1184673295 |
|---|---|
| LBN Legal business name | Tacastacas, Joselin D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | May 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184673295 | NPPES |
| Virginia | Other | 177346 | BLUE CROSS |
| Virginia | Other | VA0105 | BLUE CROSS |
| Virginia | Other | 010087000 | BLUE CROSS |
| Virginia | MEDICAID | 010110831 | BLUE CROSS |
| Virginia | MEDICAID | 010110866 | BLUE CROSS |
| Virginia | MEDICAID | 010158192 | BLUE CROSS |
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