Farrell, Keith Patrick

Farrell, Keith Patrick is an individual health care provider with primary practice located at 2048 N River Rd Ne # 3 , Warren OH 44483-2530. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Farrell, Keith Patrick can be contacted via phone (330) 372-5550.

Contact Information

Primary practice address
2048 N River Rd Ne # 3 Warren OH 44483-2530
Fax: (330) 372-5551
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3569 Ohio

Profile Details

NPI number 1679590541
LBN Legal business name Farrell, Keith Patrick
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679590541 NPPES
Ohio Other 000000371244 ANTHEM
Ohio MEDICAID 2576645 ANTHEM

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