Farrar, Mary Elizabeth

Farrar, Mary Elizabeth is an individual health care provider with primary practice located at 7 Granite Pl Suite 14, Gaithersburg MD 20878-6586. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Farrar, Mary Elizabeth can be contacted via phone (240) 631-1170.

Contact Information

Primary practice address
7 Granite Pl Suite 14 Gaithersburg MD 20878-6586
Phone: (240) 631-1170
Fax: (240) 631-1031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0002642 Maryland

Profile Details

NPI number 1417999640
LBN Legal business name Farrar, Mary Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 28th, 2017 - about 9 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 1417999640 NPPES
Maryland MEDICAID 118801100

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