Farley, Mason Durrell
Farley, Mason Durrell is an sole proprietor health care provider with primary practice located at 1720 R St Se Apt 2 , Washington DC 20020-4763. He recently has only one registered license in Nursing Service Providers / Continence Care, which is considered as his primary health care specialty. Farley, Mason Durrell can be contacted via phone (202) 486-4196.Contact Information
Primary practice address
1720 R St Se Apt 2
Washington DC 20020-4763
Phone: (202) 486-4196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Continence Care | 163WC2100X | LT000058 | District of Columbia |
Profile Details
| NPI number | 1548933203 |
|---|---|
| LBN Legal business name | Farley, Mason Durrell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2021 |
| Last updated | Jul 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548933203 | NPPES |
| District of Columbia | MEDICAID | LT000058 |
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