Marlatt, Donald Wayne

Marlatt, Donald Wayne is an sole proprietor health care provider with primary practice located at 603 D St , San Rafael CA 94901-3719. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Marlatt, Donald Wayne can be contacted via phone (415) 454-9444.

Contact Information

Primary practice address
603 D St San Rafael CA 94901-3719
Phone: (415) 454-9444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 03-097228 California

Profile Details

NPI number 1972870640
LBN Legal business name Marlatt, Donald Wayne
Credentials RAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2011
Last updated Nov 24th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972870640 NPPES
California Other M1105070241 BREINING INSTITUTE

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