Laird, David M

Laird, David M is an individual health care provider with primary practice located at 395 Hospital Blvd , Jackson TN 38305-2080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Laird, David M can be contacted via phone (731) 664-7395.

Contact Information

Primary practice address
395 Hospital Blvd Jackson TN 38305-2080
Phone: (731) 664-7395
Fax: (731) 664-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30381 Tennessee

Profile Details

NPI number 1376548503
LBN Legal business name Laird, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jan 8th, 2013 - about 11 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 1376548503 NPPES
Tennessee Other 7112229 AETNA
Tennessee Other 4005486 AETNA
Tennessee Other 020049869 AETNA
Tennessee MEDICAID 3862742 AETNA

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