Farrell, Phyllis L

Farrell, Phyllis L is an individual health care provider with primary practice located at 306 West 5Th Ave , Nome AK 99762-0966. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Farrell, Phyllis L can be contacted via phone (907) 443-3311.

Contact Information

Primary practice address
306 West 5Th Ave Nome AK 99762-0966
Phone: (907) 443-3311
Fax: (907) 443-3471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 00-439-P Alaska

Profile Details

NPI number 1861769796
LBN Legal business name Farrell, Phyllis L
Credentials C H P
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2011
Last updated Nov 21st, 2011 - about 15 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 1861769796 NPPES
Alaska Other HEALTH AIDE 00-439-P

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