Farris, Stuart
Farris, Stuart is an individual health care provider with primary practice located at 2020 W Iles Ave , Springfield IL 62704-4174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Farris, Stuart can be contacted via phone (217) 698-3030.Contact Information
Primary practice address
2020 W Iles Ave
Springfield IL 62704-4174
Phone: (217) 698-3030
Fax: (217) 698-3068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | K2462 | Texas |
Profile Details
| NPI number | 1144279498 |
|---|---|
| LBN Legal business name | Farris, Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Mar 15th, 2016 - about 9 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 | 1144279498 | NPPES |
| Illinois | MEDICAID | 036099170 | |
| Illinois | Other | 180037213 |
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