Mercho, Farouk E
Mercho, Farouk E is an individual health care provider with primary practice located at 1701 S Creasy Ln , Lafayette IN 47905-4972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mercho, Farouk E can be contacted via phone (765) 446-4819.Contact Information
Primary practice address
1701 S Creasy Ln
Lafayette IN 47905-4972
Phone: (765) 446-4819
Fax: (765) 446-4859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01031856A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35.088403 | Ohio |
Profile Details
| NPI number | 1457497307 |
|---|---|
| LBN Legal business name | Mercho, Farouk E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Mar 2nd, 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 | 1457497307 | NPPES |
| Indiana | Other | 000000379915 | BCBS |
| Indiana | Other | P00817909 | BCBS |
| Indiana | Other | 000000653260 | BCBS |
| Indiana | MEDICAID | 100320650 | BCBS |
| Indiana | MEDICAID | 2863414 | BCBS |
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