National Provider Identifier Database

MARK H LEQUIRE, MD – NPI #1336133735
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MARK H LEQUIRE, MD
2055 NORMANDIE DR
SUITE 108
MONTGOMERY, AL36111-2732
Phone: 334-288-4624
Fax: 334-280-3628
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for MARK H LEQUIRE

NPI Number 1336133735
Credentials MD
Entity Individual
Enumeration date 08/31/2005
Last updated 11/02/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • AL License #: 00013481
  • FL License #: ME89827
  • NC License #: 0000-39011
  • OH License #: 35-07-9272-L
  • SC License #: 20761
  • TN License #: 34736
  • TX License #: H3097
  • AL Medicaid: 009922335
  • AL Medicaid: 009928435
  • AL Medicaid: 009930805
  • AL Medicaid: 009951085
  • AL Medicaid: 009971800
  • AL Medicaid: 009971820
  • AL Medicaid: 009971830
  • AL Medicaid: 009972715
  • AL Medicaid: 009973725
  • AL Medicaid: 051551047
  • AL Medicaid: 107037
  • AL Medicaid: 107038
  • AL Medicaid: 108071
  • AL Medicaid: 108246
  • FL Medicaid: 270021200
  • AL Other: 000058866 IDTF
  • AL Other: 000058867 IDTF
  • AL Other: 051504364 IDTF
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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