Farrell, James William

Farrell, James William is an sole proprietor health care provider with primary practice located at 101 N Parkway Dr , Pekin IL 61554-3932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Farrell, James William can be contacted via phone (309) 347-5115.

Contact Information

Primary practice address
101 N Parkway Dr Pekin IL 61554-3932
Fax: (309) 347-7036
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036078398 Illinois

Profile Details

NPI number 1700885175
LBN Legal business name Farrell, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Mar 21st, 2013 - about 12 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 1700885175 NPPES
Illinois Other 9000192 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036078398 BLUE CROSS BLUE SHIELD

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