Hines, Martha B

Hines, Martha B is an individual health care provider with primary practice located at 367 Hospital Blvd Regional Hospital Of Jackson, Jackson TN 38305-2080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hines, Martha B can be contacted via phone (731) 661-2227.

Contact Information

Primary practice address
367 Hospital Blvd Regional Hospital Of Jackson Jackson TN 38305-2080
Phone: (731) 661-2227
Fax: (731) 661-2228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11163 Tennessee

Profile Details

NPI number 1386630440
LBN Legal business name Hines, Martha B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Aug 25th, 2017 - about 9 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 1386630440 NPPES
Tennessee MEDICAID 3634950

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