Shamberger, Laquan R
Shamberger, Laquan R is an sole proprietor health care provider with primary practice located at 109 Woodside Rd , Maplewood NJ 07040-1950. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Physical Disabilities, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is his primary health care specialty. Shamberger, Laquan R can be contacted via phone (862) 703-8237.Contact Information
Primary practice address
109 Woodside Rd
Maplewood NJ 07040-1950
Phone: (862) 703-8237
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respite Care Facility / Respite Care, Physical Disabilities, Child | 385HR2065X | New Jersey | |
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | New Jersey |
Profile Details
NPI number | 1497400501 |
---|---|
LBN Legal business name | Shamberger, Laquan R |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 16th, 2022 |
Last updated | Feb 16th, 2022 - about 2 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 | 1497400501 | NPPES |
New Jersey | MEDICAID | 121224 |
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