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
Fax:
Website:

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497400501 NPPES
New Jersey MEDICAID 121224

Popular Providers