Farrell, Timothy Jude
Farrell, Timothy Jude is an individual health care provider with primary practice located at 1800 Mulberry St , Scranton PA 18510-2369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Farrell, Timothy Jude can be contacted via phone (570) 703-4824.Contact Information
Primary practice address
1800 Mulberry St
Scranton PA 18510-2369
Phone: (570) 703-4824
Fax: (570) 703-7325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD048750L | Pennsylvania |
Profile Details
| NPI number | 1548203086 |
|---|---|
| LBN Legal business name | Farrell, Timothy Jude |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 10th, 2020 - about 4 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 | 1548203086 | NPPES |
| Pennsylvania | MEDICAID | 01538672 |
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