Farrell, Ian R.

Farrell, Ian R. is an individual health care provider with primary practice located at 210 Canal St , King City CA 93930-3432. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Farrell, Ian R. can be contacted via phone (831) 385-5471.

Contact Information

Primary practice address
210 Canal St King City CA 93930-3432
Phone: (831) 385-5471
Fax: (831) 385-5940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16288 California

Profile Details

NPI number 1497731053
LBN Legal business name Farrell, Ian R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Aug 6th, 2015 - about 11 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 1497731053 NPPES
California MEDICAID PA162880

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