Jean, Larry Allen

Jean, Larry Allen is an sole proprietor health care provider with primary practice located at 3230 Kerner Blvd , San Rafael CA 94901-4840. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Peer Specialist is his primary health care specialty. Jean, Larry Allen can be contacted via phone (415) 847-3209.

Contact Information

Primary practice address
3230 Kerner Blvd San Rafael CA 94901-4840
Phone: (415) 847-3209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1790127728
LBN Legal business name Jean, Larry Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2013
Last updated Apr 12th, 2023 - about 2 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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