Laxer, Kenneth D.

Laxer, Kenneth D. is an sole proprietor health care provider with primary practice located at 1100 Van Ness Ave , San Francisco CA 94109-6978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Laxer, Kenneth D. can be contacted via phone (415) 600-7880.

Contact Information

Primary practice address
1100 Van Ness Ave San Francisco CA 94109-6978
Phone: (415) 600-7880
Fax: (415) 369-1373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G28500 California

Profile Details

NPI number 1861460990
LBN Legal business name Laxer, Kenneth D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated May 21st, 2020 - about 4 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 1861460990 NPPES
California MEDICAID 00G285000

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