Black, Farrah L
Black, Farrah L is an sole proprietor health care provider with primary practice located at 1300 N 12Th St Ste 500, Phoenix AZ 85006-2848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Black, Farrah L can be contacted via phone (602) 839-2606.Contact Information
Primary practice address
1300 N 12Th St Ste 500
Phoenix AZ 85006-2848
Phone: (602) 839-2606
Fax: (602) 839-4123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2874 | Arizona |
Profile Details
| NPI number | 1063490316 |
|---|---|
| LBN Legal business name | Black, Farrah L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Oct 2nd, 2012 - about 12 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 | 1063490316 | NPPES |
| Arizona | MEDICAID | 803305 |
Popular Providers
-
Ali, James Lea
3306 W Roosevelt St , Phoenix AZ 85009-3404 -
Strauss, Paul David
26224 N Tatum Blvd , Phoenix AZ 85050-7500 -
Bosley, Jeffrey S.
4512 N 40Th St , Phoenix AZ 85018-3604 -
Berry, Lillian M
444 W Osborn Rd Suite 200, Phoenix AZ 85013-3814 -
Janik, Ann
15215 S 48Th St Ste 120 , Phoenix AZ 85044-9137 -
Adams, Gladys A
809 E Washington St Suite 106, Phoenix AZ 85034-1052 -
Sears, Robyn Anne
1850 N Central Ave Ste1600, Phoenix AZ 85004-4527 -
Sanderson, Jody Lee
1111 E Mcdowell Rd , Phoenix AZ 85006-2612