Thayer, Laura M

Thayer, Laura M is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thayer, Laura M can be contacted via phone (607) 547-7880.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Phone: (607) 547-7880
Fax: (607) 547-7880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334753 New York

Profile Details

NPI number 1528014784
LBN Legal business name Thayer, Laura M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 10th, 2011 - about 13 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 1528014784 NPPES
New York MEDICAID 02702876

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