Farris, Katherine
Farris, Katherine is an individual health care provider with primary practice located at 3000 Maplewood Ave Suite 112, Winston Salem NC 27103-4002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Farris, Katherine can be contacted via phone (336) 768-2980.Contact Information
Primary practice address
3000 Maplewood Ave Suite 112
Winston Salem NC 27103-4002
Phone: (336) 768-2980
Fax: (336) 765-6599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 217062 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2009-00506 | North Carolina |
Profile Details
| NPI number | 1013988989 |
|---|---|
| LBN Legal business name | Farris, Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Sep 5th, 2013 - about 11 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 | 1013988989 | NPPES |
| Massachusetts | MEDICAID | 2017661 |
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