Joque, Laura A

Joque, Laura A is an individual health care provider with primary practice located at 523 N 3Rd St , Brainerd MN 56401-3054. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Joque, Laura A can be contacted via phone (218) 829-2861.

Contact Information

Primary practice address
523 N 3Rd St Brainerd MN 56401-3054
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD27329 Oregon
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 47011 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47011 Minnesota

Profile Details

NPI number 1538149604
LBN Legal business name Joque, Laura A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jan 8th, 2016 - about 8 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 1538149604 NPPES
Oregon MEDICAID 006200
Oregon MEDICAID 074970200
Oregon MEDICAID ENROLLED
Oregon MEDICAID ENROLLED
Oregon Other P00198296

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