Janssen, Luis A
Janssen, Luis A is an sole proprietor health care provider with primary practice located at 769 Amherst Cir , Sonoma CA 95476-4107. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Janssen, Luis A can be contacted via phone (707) 939-1670.Contact Information
Primary practice address
769 Amherst Cir
Sonoma CA 95476-4107
Phone: (707) 939-1670
Fax: (707) 939-1670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY8820 | California |
Profile Details
| NPI number | 1073596821 |
|---|---|
| LBN Legal business name | Janssen, Luis A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Mar 14th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073596821 | NPPES |
| California | MEDICAID | PSY088200 |
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