Lequire, Mark H

Lequire, Mark H is an sole proprietor health care provider with primary practice located at 2055 Normandie Dr Suite 108, Montgomery AL 36111-2732. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lequire, Mark H can be contacted via phone (334) 288-4624.

Contact Information

Primary practice address
2055 Normandie Dr Suite 108 Montgomery AL 36111-2732
Fax: (334) 280-3628
Website:

Profile Details

NPI number 1336133735
LBN Legal business name Lequire, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Nov 2nd, 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 1336133735 NPPES
Alabama MEDICAID 009971820
Alabama MEDICAID 009973725
Alabama Other 000058867
Alabama MEDICAID 009930805
Alabama MEDICAID 009971800
Alabama Other 000058866
Alabama MEDICAID 107037
Alabama MEDICAID 108071
Alabama MEDICAID 051551047
Alabama MEDICAID 009922335
Alabama MEDICAID 009971830
Alabama MEDICAID 107038
Alabama MEDICAID 108246
Alabama MEDICAID 270021200
Alabama MEDICAID 009928435
Alabama MEDICAID 009972715
Alabama MEDICAID 009951085
Alabama Other 051504364

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