Provider Demographics
NPI:1134746886
Name:JOSLIN, ELIZABETH MARGARET
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARGARET
Last Name:JOSLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-3703
Mailing Address - Country:US
Mailing Address - Phone:540-629-3917
Mailing Address - Fax:
Practice Address - Street 1:107 3RD AVE STE A
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-4746
Practice Address - Country:US
Practice Address - Phone:540-416-0413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program