Tait, Donald

Tait, Donald is an individual health care provider with primary practice located at 162 Legacy Oaks Dr , Knightdale NC 27545-6556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tait, Donald can be contacted via phone (919) 373-1810.

Contact Information

Primary practice address
162 Legacy Oaks Dr Knightdale NC 27545-6556
Phone: (919) 373-1810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.011554 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A-1939-16 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2020-00625 North Carolina

Profile Details

NPI number 1568718674
LBN Legal business name Tait, Donald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2012
Last updated Feb 19th, 2021 - about 4 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 1568718674 NPPES
Ohio MEDICAID 0114157
Ohio Other 31-0564121
Ohio Other 31-1175717

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