Marianne Grube

Individual provider Active NPI Home Modifications Contractor · Hampton, NH

NPI 1780007880 · NPPES record last updated Jan 24, 2014

Key facts

NPI
1780007880
Entity type
Individual (NPI type 1)
Primary specialty
Home Modifications Contractor 171WH0202X
License
0633937 (CT)
Practice address
387 Lafayette Rd
Unit108
Hampton, NH 03842-2206
Phone
(603) 601-7105
Fax
(603) 601-7103
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0633937CTMDHome Modifications Contractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 0633937 CT Yes

Addresses

Primary practice location

387 Lafayette Rd
Unit108
Hampton, NH 03842-2206

Mailing address

387 Lafayette Rd
Unit108
Hampton, NH 03842-2206
Phone (603) 601-7105

Other providers in Hampton, NH

All providers in Hampton, NH · Home Modifications Contractor in New Hampshire

Sources for this page

Verify at the official NPI Registry.