Farmer, Enoch M

Farmer, Enoch M is an individual health care provider with primary practice located at 36475 Euclid Ave , Willoughby OH 44094-4448. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Farmer, Enoch M can be contacted via phone (740) 317-7089.

Contact Information

Primary practice address
36475 Euclid Ave Willoughby OH 44094-4448
Phone: (740) 317-7089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11073-NP Ohio

Profile Details

NPI number 1316273378
LBN Legal business name Farmer, Enoch M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2009
Last updated Jul 13th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316273378 NPPES
Ohio MEDICAID 3047796

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