Farra, Taline
Farra, Taline is an individual health care provider with primary practice located at 647 E Broadway , South Boston MA 02127-1503. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Farra, Taline can be contacted via phone (617) 823-7534.Contact Information
Primary practice address
647 E Broadway
South Boston MA 02127-1503
Phone: (617) 823-7534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4097 | Massachusetts |
Profile Details
| NPI number | 1740363399 |
|---|---|
| LBN Legal business name | Farra, Taline |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Apr 19th, 2016 - about 10 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 | 1740363399 | NPPES |
| Massachusetts | Other | 152831 | HARVARD PILGRIM HEALTH |
| Massachusetts | Other | W16308 | HARVARD PILGRIM HEALTH |
| Massachusetts | Other | 0014570 | HARVARD PILGRIM HEALTH |
| Massachusetts | Other | 22-00932 | HARVARD PILGRIM HEALTH |
| Massachusetts | Other | 38156 | HARVARD PILGRIM HEALTH |
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