Farley, Johann David
Farley, Johann David is an sole proprietor health care provider with primary practice located at 8300 Broadway Ste D2 , Merrillville IN 46410-8603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Farley, Johann David can be contacted via phone (219) 649-0044.Contact Information
Primary practice address
8300 Broadway Ste D2
Merrillville IN 46410-8603
Phone: (219) 649-0044
Fax: (219) 649-0055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A89493 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46905-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01060680A | Indiana |
Profile Details
| NPI number | 1043275761 |
|---|---|
| LBN Legal business name | Farley, Johann David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 26th, 2024 - about 8 months 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 | 1043275761 | NPPES |
| Indiana | MEDICAID | 200522790 |
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