Waller, Laura Katherine

Waller, Laura Katherine is an sole proprietor health care provider with primary practice located at 427B San Anselmo Ave , San Anselmo CA 94960-2611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Waller, Laura Katherine can be contacted via phone (415) 990-1579.

Contact Information

Primary practice address
427B San Anselmo Ave San Anselmo CA 94960-2611
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A065384 California

Profile Details

NPI number 1306179015
LBN Legal business name Waller, Laura Katherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2009
Last updated Sep 13th, 2009 - about 16 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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