Farra, Raphael
Farra, Raphael is an sole proprietor health care provider with primary practice located at 300 Kearney Cir , Manchester NH 03104-1816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Farra, Raphael can be contacted via phone (603) 623-3013.Contact Information
Primary practice address
300 Kearney Cir
Manchester NH 03104-1816
Phone: (603) 623-3013
Fax: (603) 627-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 7079 | New Hampshire |
Profile Details
| NPI number | 1942291158 |
|---|---|
| LBN Legal business name | Farra, Raphael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1942291158 | NPPES |
| New Hampshire | MEDICAID | 00000355 |
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