Brodeur, Laurie

Brodeur, Laurie is an individual health care provider with primary practice located at 25 W Main St , Conway NH 03818-6142. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brodeur, Laurie can be contacted via phone (603) 447-2111.

Contact Information

Primary practice address
25 W Main St Conway NH 03818-6142
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 604 New Hampshire

Profile Details

NPI number 1093836009
LBN Legal business name Brodeur, Laurie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1093836009 NPPES
Other 225029 CIGNA

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