Laurie De Roque is a Contractor in Clinton, Arkansas. Laurie De Roque practices all healthcare services and medical treatments related to Contractor. The NPI Number for Laurie De Roque is 1881751279. The last update date is 2007-07-09.
Laurie De Roque's current location address is 851 Yellowjacket Ln, Clinton, Arkansas. You can contact this provider via phone number 5017456034. The mailing address for Laurie De Roque is 851 Yellowjacket Ln, Clinton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie De Roque |
|---|---|
| Address | 851 Yellowjacket Ln, Clinton, Arkansas |
| Phone Number | 5017456034 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881751279 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 851 Yellowjacket Ln |
|---|---|
| City | Clinton |
| State | Arkansas (AR) |
| Post Code | 720316873 |
| Phone Number | 5017456034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | OTR1268 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the Laurie De Roque's unique identification number?
The Laurie De Roque has been assigned the NPI (National Provider Identifier) Number 1881751279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Laurie De Roque located?
The Laurie De Roque is located at 851 Yellowjacket Ln, Clinton, AR 720316873.
What is the Laurie De Roque's area of specialization and corresponding taxonomy classification?
The Laurie De Roque's specialty field is Contractor, and it falls under the taxonomy code 171W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Laurie De Roque receive its 1881751279 assignment from the Centers for Medicare & Medicaid Services?
The Laurie De Roque was assigned its 1881751279 by the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date were the details related to Laurie De Roque most recently updated or revised?
The information pertaining to Laurie De Roque, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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