Faraci, Jack

Faraci, Jack is an individual health care provider with primary practice located at 30 Daniel Webster Hwy Suite 11, Merrimack NH 03054-4822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Faraci, Jack can be contacted via phone (603) 883-3365.

Contact Information

Primary practice address
30 Daniel Webster Hwy Suite 11 Merrimack NH 03054-4822
Phone: (603) 883-3365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5707 New Hampshire

Profile Details

NPI number 1063498111
LBN Legal business name Faraci, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated May 13th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063498111 NPPES
New Hampshire MEDICAID 30003436

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