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
Phone: (309) 347-5115
Fax: (309) 347-7036
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700885175 | NPPES |
Illinois | Other | 9000192 | BLUE CROSS BLUE SHIELD |
Illinois | MEDICAID | 036078398 | BLUE CROSS BLUE SHIELD |
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