Slottow, Richard
Slottow, Richard is an sole proprietor health care provider with primary practice located at 440 Arrowood Dr , Santa Rosa CA 95407-7503. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Slottow, Richard can be contacted via phone (707) 284-2955.Contact Information
Primary practice address
440 Arrowood Dr
Santa Rosa CA 95407-7503
Phone: (707) 284-2955
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
NPI number | 1588112650 |
---|---|
LBN Legal business name | Slottow, Richard |
Credentials | MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 16th, 2016 |
Last updated | Sep 16th, 2016 - about 8 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 | 1588112650 | NPPES |
California | Other | CATC 167487 IV | CAADE |
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