Whalen, Andrew

Whalen, Andrew is an sole proprietor health care provider with primary practice located at 99 Montecillo Rd , San Rafael CA 94903-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Whalen, Andrew can be contacted via phone (415) 444-2000.

Contact Information

Primary practice address
99 Montecillo Rd San Rafael CA 94903-3308
Phone: (415) 444-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 36034 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 36024 California

Profile Details

NPI number 1316209968
LBN Legal business name Whalen, Andrew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2012
Last updated Feb 11th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316209968 NPPES
California Other PT36024 PT LICENSE

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