Tahir, Jaimie Sarcon
Tahir, Jaimie Sarcon is an individual health care provider with primary practice located at 601 Old Wagner Rd , Petersburg VA 23805-9313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tahir, Jaimie Sarcon can be contacted via phone (804) 835-9398.Contact Information
Primary practice address
601 Old Wagner Rd
Petersburg VA 23805-9313
Phone: (804) 835-9398
Fax: (804) 414-7062
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2014017971 | Virginia |
Profile Details
NPI number | 1528420544 |
---|---|
LBN Legal business name | Tahir, Jaimie Sarcon |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2016 |
Last updated | Aug 19th, 2016 - about 8 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 | 1528420544 | NPPES |
Virginia | Other | VVL477A | MEDICARE ID |
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