Marsolan, Laura Blaire
Marsolan, Laura Blaire is an sole proprietor health care provider with primary practice located at 3100 Apache Dr , Jonesboro AR 72401-7404. She recently has only one registered license in Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, which is considered as her primary health care specialty. Marsolan, Laura Blaire can be contacted via phone (870) 333-5437.Contact Information
Primary practice address
3100 Apache Dr
Jonesboro AR 72401-7404
Phone: (870) 333-5437
Fax: (870) 333-5237
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care | 261QM3000X |
Profile Details
NPI number | 1700455516 |
---|---|
LBN Legal business name | Marsolan, Laura Blaire |
Credentials | ECDS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 24th, 2021 |
Last updated | Jun 24th, 2021 - about 3 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 | 1700455516 | NPPES |
Arkansas | MEDICAID | 1164957080 |
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