Farris, Hailey C

Farris, Hailey C is an individual health care provider with primary practice located at 200 N 3Rd St , Dardanelle AR 72834-3802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Farris, Hailey C can be contacted via phone (479) 229-6191.

Contact Information

Primary practice address
200 N 3Rd St Dardanelle AR 72834-3802
Fax: (479) 229-6194
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E9214 Arkansas

Profile Details

NPI number 1447514310
LBN Legal business name Farris, Hailey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Jan 23rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447514310 NPPES
Arkansas MEDICAID 209831001

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