Farrell, John Joseph

Farrell, John Joseph is an individual health care provider with primary practice located at 1250 S Creasy Ln Suite A, Lafayette IN 47905-4960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Farrell, John Joseph can be contacted via phone (765) 449-2732.

Contact Information

Primary practice address
1250 S Creasy Ln Suite A Lafayette IN 47905-4960
Fax: (765) 446-5317
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01028578A Indiana

Profile Details

NPI number 1770551863
LBN Legal business name Farrell, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 15th, 2020 - about 5 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 1770551863 NPPES
Indiana Other 000000110534 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100064850 ANTHEM PROVIDER NUMBER

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