Farrington, Mark Gordon

Farrington, Mark Gordon is an sole proprietor health care provider with primary practice located at 730 Lyons Ave , Charlottesville VA 22902-4310. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is his primary health care specialty. Farrington, Mark Gordon can be contacted via phone (434) 760-3210.

Contact Information

Primary practice address
730 Lyons Ave Charlottesville VA 22902-4310
Phone: (434) 760-3210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001085702 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 0015000702 Virginia

Profile Details

NPI number 1346577376
LBN Legal business name Farrington, Mark Gordon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2009
Last updated Jan 24th, 2022 - about 3 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 1346577376 NPPES
Virginia MEDICAID 5511071
Virginia MEDICAID 4945018

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