Laurel A Tait in Salem - Primary Podiatric Medicine

Laurel A Tait - NPI 1831119676

Laurel A Tait is a Primary Podiatric Medicine in Salem, Arkansas. Laurel A Tait practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Laurel A Tait is 1831119676. The last update date is 2022-02-10.

Laurel A Tait's current location address is 106 Highway 62 W, Salem, Arkansas. You can contact this provider via phone number 8708952015 and fax number 8708952164. The mailing address for Laurel A Tait is 106 Highway 62 W, Salem, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurel A Tait
Address 106 Highway 62 W, Salem, Arkansas
Phone Number 8708952015
Fax Number 8708952164
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1831119676
Provider Enumeration Date 2006-07-21
Last Updated Date 2022-02-10

Provider Mailing Address Detail

Address 106 Highway 62 W
City Salem
State Arkansas (AR)
Post Code 725768059
Phone Number 8708952015
Fax Number 8708952164

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No MO00556
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480005007 MO RAILROAD MEDICARE
12934038 MO BLUE CROSS BLUE SHIELD
2358739 MS --

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FAQs about Laurel A Tait

What is the unique 10-digit identifier code issued to Laurel A Tait by the Centers for Medicare & Medicaid Services?

The Laurel A Tait has been assigned the NPI (National Provider Identifier) 1831119676 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Laurel A Tait is physically located?

The Laurel A Tait is situated at the following address: 106 Highway 62 W, Salem, AR 725768059.

What is the Laurel A Tait's area of specialization and corresponding taxonomy classification?

The Laurel A Tait's specialty field is Primary Podiatric Medicine, and it falls under the taxonomy code 213Ep1101X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1831119676 to Laurel A Tait?

The Centers for Medicare & Medicaid Services assigned the 1831119676 to Laurel A Tait on 2006-07-21.

As of what date were the details related to Laurel A Tait most recently updated or revised?

The information pertaining to Laurel A Tait, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-10.

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