Waller, Laura Katherine
Waller, Laura Katherine is an sole proprietor health care provider with primary practice located at 427B San Anselmo Ave , San Anselmo CA 94960-2611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Waller, Laura Katherine can be contacted via phone (415) 990-1579.Contact Information
Primary practice address
427B San Anselmo Ave
San Anselmo CA 94960-2611
Phone: (415) 990-1579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A065384 | California |
Profile Details
| NPI number | 1306179015 |
|---|---|
| LBN Legal business name | Waller, Laura Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2009 |
| Last updated | Sep 13th, 2009 - about 17 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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