Farrar, John Edward

Farrar, John Edward is an sole proprietor health care provider with primary practice located at 2200 Gullick Ave Winn Army Community Hospital, Bldg 816, Fort Stewart GA 31314-5674. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Farrar, John Edward can be contacted via phone (770) 862-6519.

Contact Information

Primary practice address
2200 Gullick Ave Winn Army Community Hospital, Bldg 816 Fort Stewart GA 31314-5674
Phone: (770) 862-6519
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1004 Georgia

Profile Details

NPI number 1083783047
LBN Legal business name Farrar, John Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated May 17th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083783047 NPPES
Georgia MEDICAID 000415324A

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