Farrow, Demetrious
Farrow, Demetrious is an sole proprietor health care provider with primary practice located at 4120 W Memorial Rd Ste 300, Oklahoma City OK 73120-9322. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Farrow, Demetrious can be contacted via phone (405) 748-3300.Contact Information
Primary practice address
4120 W Memorial Rd Ste 300
Oklahoma City OK 73120-9322
Phone: (405) 748-3300
Fax: (405) 748-2920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1249 | Oklahoma |
Profile Details
| NPI number | 1598754608 |
|---|---|
| LBN Legal business name | Farrow, Demetrious |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jun 7th, 2011 - about 13 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 | 1598754608 | NPPES |
| Oklahoma | MEDICAID | 200019520A |
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