Farran, Brian Lawrence
Farran, Brian Lawrence is an sole proprietor health care provider with primary practice located at 111 S Orange Ave Ste 24 , South Orange NJ 07079-1931. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Farran, Brian Lawrence can be contacted via phone (973) 327-4393.Contact Information
Primary practice address
111 S Orange Ave Ste 24
South Orange NJ 07079-1931
Phone: (973) 327-4393
Fax: (973) 352-6578
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 016443 | New York |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4425 | New Jersey |
Profile Details
NPI number | 1396721239 |
---|---|
LBN Legal business name | Farran, Brian Lawrence |
Credentials | PH.D., ABPP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 22nd, 2005 |
Last updated | Nov 20th, 2020 - about 4 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 | 1396721239 | NPPES |
New York | MEDICAID | 02693194 |
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