Tacktill, Norman

Tacktill, Norman is an individual health care provider with primary practice located at 6355 Walker Ln Suite 408, Alexandria VA 22310-3245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tacktill, Norman can be contacted via phone (703) 719-5901.

Contact Information

Primary practice address
6355 Walker Ln Suite 408 Alexandria VA 22310-3245
Phone: (703) 719-5901
Fax: (703) 719-9629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101031690 Virginia

Profile Details

NPI number 1811982366
LBN Legal business name Tacktill, Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 8th, 2007 - about 19 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 1811982366 NPPES
Virginia MEDICAID 6294065

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