Harraway, Allan Edward

Harraway, Allan Edward is an individual health care provider with primary practice located at 614 W Manchester Blvd Ste 104 , Inglewood CA 90301-1683. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Harraway, Allan Edward can be contacted via phone (310) 412-0879.

Contact Information

Primary practice address
614 W Manchester Blvd Ste 104 Inglewood CA 90301-1683
Phone: (310) 412-0879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C30111214 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619170388
LBN Legal business name Harraway, Allan Edward
Credentials AOD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Apr 9th, 2019 - about 5 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 1619170388 NPPES
California Other 743045262 TAX ID

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