Stoller, Jean L

Stoller, Jean L is an individual health care provider with primary practice located at 301 Grand Ave , South San Francisco CA 94080-3606. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stoller, Jean L can be contacted via phone (650) 244-1444.

Contact Information

Primary practice address
301 Grand Ave South San Francisco CA 94080-3606
Phone: (650) 244-1444
Fax: (650) 244-1447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1215181599
LBN Legal business name Stoller, Jean L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2008
Last updated Nov 12th, 2008 - about 17 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 1215181599 NPPES
California Other 97037 OLLIN
California Other 41491 OLLIN
California Other 99037 OLLIN

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