Temple, Tai

Temple, Tai is an individual health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Temple, Tai can be contacted via phone (508) 765-9771.

Contact Information

Primary practice address
100 South St Southbridge MA 01550-4051
Fax: (508) 909-7735
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 238229 Massachusetts

Profile Details

NPI number 1114971694
LBN Legal business name Temple, Tai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 2nd, 2024 - about last year

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 1114971694 NPPES
Tennessee Other 4097265 BLUE CROSS
Tennessee Other P00211999 BLUE CROSS

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