Farrow, Marc Randolph
Farrow, Marc Randolph is an sole proprietor health care provider with primary practice located at 1602 S Stratford Rd Ste 130 , Winston Salem NC 27103-2959. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Farrow, Marc Randolph can be contacted via phone (336) 281-2045.Contact Information
Primary practice address
1602 S Stratford Rd Ste 130
Winston Salem NC 27103-2959
Phone: (336) 281-2045
Fax: (336) 276-2589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | P5999 | North Carolina |
Profile Details
| NPI number | 1699759969 |
|---|---|
| LBN Legal business name | Farrow, Marc Randolph |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 25th, 2022 - about 2 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 | 1699759969 | NPPES |
| North Carolina | Other | 079PX | BCBS |
| North Carolina | Other | 7406746 | BCBS |
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