Laquerre, Marc Conrad
Laquerre, Marc Conrad is an sole proprietor health care provider with primary practice located at 120 Main St Suite 103, Nashua NH 03060-2707. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Laquerre, Marc Conrad can be contacted via phone (603) 345-3786.Contact Information
Primary practice address
120 Main St Suite 103
Nashua NH 03060-2707
Phone: (603) 345-3786
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 756 | New Hampshire |
Profile Details
| NPI number | 1376567552 |
|---|---|
| LBN Legal business name | Laquerre, Marc Conrad |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376567552 | NPPES |
| New Hampshire | MEDICAID | 30420513 |
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