Tumbaco, Farley K

Tumbaco, Farley K is an sole proprietor health care provider with primary practice located at 3200 Monroe Hwy Ste 150 , Pineville LA 71360-4294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tumbaco, Farley K can be contacted via phone (318) 640-3737.

Contact Information

Primary practice address
3200 Monroe Hwy Ste 150 Pineville LA 71360-4294
Fax: (318) 640-3740
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 09946 R Louisiana

Profile Details

NPI number 1831159102
LBN Legal business name Tumbaco, Farley K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Feb 13th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831159102 NPPES
Other P00419417 RAILROAD MEDICARE
MEDICAID 1967742 RAILROAD MEDICARE

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