Herst, Colleen Baxter

Herst, Colleen Baxter is an individual health care provider with primary practice located at 2275 Arlington Dr , San Leandro CA 94578-1132. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Herst, Colleen Baxter can be contacted via phone (510) 427-5372.

Contact Information

Primary practice address
2275 Arlington Dr San Leandro CA 94578-1132
Phone: (510) 427-5372
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X ASW 20589 California

Profile Details

NPI number 1437221793
LBN Legal business name Herst, Colleen Baxter
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1437221793 NPPES
California Other 8191 MEDI-CAL

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