Hallett, John Boren
Hallett, John Boren is an individual health care provider with primary practice located at 5900 State Farm Dr Ste 200 , Rohnert Park CA 94928-2149. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hallett, John Boren can be contacted via phone (707) 559-7500.Contact Information
Primary practice address
5900 State Farm Dr Ste 200
Rohnert Park CA 94928-2149
Phone: (707) 559-7500
Fax: (707) 559-7707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A178101 | California |
Profile Details
| NPI number | 1619436995 |
|---|---|
| LBN Legal business name | Hallett, John Boren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2019 |
| Last updated | Oct 20th, 2022 - about 4 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.
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