Grace, Laura Marise
Grace, Laura Marise is an sole proprietor health care provider with primary practice located at 144 South St , Concord NH 03301-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Grace, Laura Marise can be contacted via phone (603) 230-1599.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | 110761 | New Hampshire |
Profile Details
NPI number | 1366165987 |
---|---|
LBN Legal business name | Grace, Laura Marise |
Credentials | MA, CAGS, NCSP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 20th, 2022 |
Last updated | Mar 8th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366165987 | NPPES |
New Hampshire | MEDICAID | 3073388 |
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