Donta, Sam T

Donta, Sam T is an sole proprietor health care provider with primary practice located at 90 Ter Heun Dr , Falmouth MA 02540-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Donta, Sam T can be contacted via phone (508) 539-6666.

Contact Information

Primary practice address
90 Ter Heun Dr Falmouth MA 02540-2533
Fax: (508) 540-0133
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 30022 Massachusetts

Profile Details

NPI number 1477502086
LBN Legal business name Donta, Sam T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Feb 11th, 2010 - about 15 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 1477502086 NPPES
Massachusetts Other 030022 TUFTS HEALTH
Massachusetts MEDICAID 3016587 TUFTS HEALTH
Massachusetts Other 66274UH TUFTS HEALTH

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