Farr, Ryan Ellsworth

Farr, Ryan Ellsworth is an individual health care provider with primary practice located at 1485 Northcrest Dr , Crescent City CA 95531-2324. 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. Farr, Ryan Ellsworth can be contacted via phone (707) 464-9958.

Contact Information

Primary practice address
1485 Northcrest Dr Crescent City CA 95531-2324
Phone: (707) 464-9958
Fax: (707) 464-9974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT26976 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3958 Oregon

Profile Details

NPI number 1841230984
LBN Legal business name Farr, Ryan Ellsworth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1841230984 NPPES
California MEDICAID PT0269760
California Other 0PT269760
California Other 4563670001

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