Hare, Laura J

Hare, Laura J is an individual health care provider with primary practice located at 500 Russell St Suite 3, Starkville MS 39759-3413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hare, Laura J can be contacted via phone (662) 324-2244.

Contact Information

Primary practice address
500 Russell St Suite 3 Starkville MS 39759-3413
Phone: (662) 324-2244
Fax: (662) 324-2295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R737881 Mississippi

Profile Details

NPI number 1114086584
LBN Legal business name Hare, Laura J
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Apr 11th, 2014 - about 12 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 1114086584 NPPES
Mississippi MEDICAID 00118665

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