Farrelly, Tim

Farrelly, Tim is an individual health care provider with primary practice located at 2187 N Vickey St , Flagstaff AZ 86004-6106. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Farrelly, Tim can be contacted via phone (928) 714-6401.

Contact Information

Primary practice address
2187 N Vickey St Flagstaff AZ 86004-6106
Phone: (928) 714-6401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10411 Arizona

Profile Details

NPI number 1407868615
LBN Legal business name Farrelly, Tim
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 19 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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