Taguiam, Dirksen J.
Taguiam, Dirksen J. is an sole proprietor health care provider with primary practice located at 210 Jack Martin Blvd Ste D-1 , Brick NJ 08724-7771. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Taguiam, Dirksen J. can be contacted via phone (732) 458-5854.Contact Information
Primary practice address
210 Jack Martin Blvd Ste D-1
Brick NJ 08724-7771
Phone: (732) 458-5854
Fax: (732) 458-8012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26NJ00885000 | New Jersey |
Profile Details
| NPI number | 1639640790 |
|---|---|
| LBN Legal business name | Taguiam, Dirksen J. |
| Credentials | MSN, APN-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2018 |
| Last updated | Dec 23rd, 2019 - about 5 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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