Farrell, John S

Farrell, John S is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 584A, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Farrell, John S can be contacted via phone (314) 251-6966.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 584A Saint Louis MO 63141-8232
Phone: (314) 251-6966
Fax: (314) 251-6632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R5636 Missouri

Profile Details

NPI number 1194724724
LBN Legal business name Farrell, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Nov 4th, 2008 - about 17 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 1194724724 NPPES
Missouri MEDICAID 200162204

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