Lair, Hannah M

Lair, Hannah M is an individual health care provider with primary practice located at 630 Broadway St , Madison IN 47250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lair, Hannah M can be contacted via phone (812) 801-8914.

Contact Information

Primary practice address
630 Broadway St Madison IN 47250
Phone: (812) 801-8914
Fax: (812) 801-8915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006013A Indiana

Profile Details

NPI number 1720453152
LBN Legal business name Lair, Hannah M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated May 25th, 2022 - about 4 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 1720453152 NPPES
Kentucky Other 50105658 KY PASSPORT
Kentucky Other 412840056 KY PASSPORT
Kentucky Other 5267906 KY PASSPORT
Kentucky MEDICAID 7100399820 KY PASSPORT
Kentucky Other 993675 KY PASSPORT
Kentucky MEDICAID 201343710 KY PASSPORT

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