Willoughby, Tasha N
Willoughby, Tasha N is an sole proprietor health care provider with primary practice located at 2557 Cowan Blvd , Fredericksburg VA 22401-8440. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Willoughby, Tasha N can be contacted via phone (540) 551-5550.Contact Information
Primary practice address
2557 Cowan Blvd
Fredericksburg VA 22401-8440
Phone: (540) 551-5550
Fax: (540) 371-0000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401411109 | Virginia |
Profile Details
| NPI number | 1184695835 |
|---|---|
| LBN Legal business name | Willoughby, Tasha N |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Aug 10th, 2023 - 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 | 1184695835 | NPPES |
| Virginia | MEDICAID | 9179325 |
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