Laird, Martha Jane

Laird, Martha Jane is an sole proprietor health care provider with primary practice located at 1024 Kelly Drive Vandyck Ambulatory Surgery Center-Loden Vision, Paris TN 38242-4500. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Laird, Martha Jane can be contacted via phone (731) 642-5003.

Contact Information

Primary practice address
1024 Kelly Drive Vandyck Ambulatory Surgery Center-Loden Vision Paris TN 38242-4500
Phone: (731) 642-5003
Fax: (615) 620-2323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN039384 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN08847 Tennessee

Profile Details

NPI number 1386674695
LBN Legal business name Laird, Martha Jane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Oct 1st, 2010 - about 16 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 1386674695 NPPES
Tennessee Other 01191925 AMERIGROUP TENNCARE-NONPAR

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