Tara Schaffer

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dighton, MA

NPI 1487981015 · NPPES record last updated Nov 3, 2009

Key facts

NPI
1487981015
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1730 Wellington St
Dighton, MA 02715-1000
Phone
(508) 415-3655
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1730 Wellington St
Dighton, MA 02715-1000

Mailing address

1730 Wellington St
Dighton, MA 02715-1000
Phone (508) 415-3655

Other providers in Dighton, MA

All providers in Dighton, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.