Farris, Paul E
Farris, Paul E is an sole proprietor health care provider with primary practice located at 1706 E Joyce Blvd Ste 1 , Fayetteville AR 72703-6297. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Farris, Paul E can be contacted via phone (479) 439-6110.Contact Information
Primary practice address
1706 E Joyce Blvd Ste 1
Fayetteville AR 72703-6297
Phone: (479) 439-6110
Fax: (479) 439-6110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C7627 | Arkansas |
Profile Details
| NPI number | 1912901992 |
|---|---|
| LBN Legal business name | Farris, Paul E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Apr 6th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912901992 | NPPES |
| Arkansas | MEDICAID | 126334001 |
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