Farrell, John S
Farrell, John S is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 584A, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Farrell, John S can be contacted via phone (314) 251-6966.Contact Information
Primary practice address
621 S New Ballas Rd Suite 584A
Saint Louis MO 63141-8232
Phone: (314) 251-6966
Fax: (314) 251-6632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | R5636 | Missouri |
Profile Details
| NPI number | 1194724724 |
|---|---|
| LBN Legal business name | Farrell, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Nov 4th, 2008 - about 17 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 | 1194724724 | NPPES |
| Missouri | MEDICAID | 200162204 |
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