Farlow, Bradley A
Farlow, Bradley A is an individual health care provider with primary practice located at 144 W Hill St , Wabash IN 46992-3048. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Farlow, Bradley A can be contacted via phone (260) 563-2020.Contact Information
Primary practice address
144 W Hill St
Wabash IN 46992-3048
Phone: (260) 563-2020
Fax: (260) 563-2873
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 18002054A | Indiana |
Eye and Vision Services Providers / Optometrist | 152W00000X | 18002054A | Indiana |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 18002054A | Indiana |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 18002054A | Indiana |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 18002054A | Indiana |
Profile Details
NPI number | 1821077124 |
---|---|
LBN Legal business name | Farlow, Bradley A |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 13th, 2006 |
Last updated | Sep 4th, 2009 - about 15 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 | 1821077124 | NPPES |
Indiana | MEDICAID | 100253500B | |
Indiana | Other | 000000088323 | |
Indiana | Other | 134927 |
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