Entezari, Farzaneh Moh

Entezari, Farzaneh Moh is an sole proprietor health care provider with primary practice located at 414 Paddock Dr W , Savoy IL 61874-9620. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Entezari, Farzaneh Moh can be contacted via phone (217) 550-1777.

Contact Information

Primary practice address
414 Paddock Dr W Savoy IL 61874-9620
Phone: (217) 550-1777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.438415 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209.022654 Illinois

Profile Details

NPI number 1770177172
LBN Legal business name Entezari, Farzaneh Moh
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2021
Last updated Feb 25th, 2021 - about 3 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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