Farris, Carolyn M

Farris, Carolyn M is an individual health care provider with primary practice located at 2 Miles East Of Boley On Hwy 62 , Boley OK 74829. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Farris, Carolyn M can be contacted via phone (918) 667-3367.

Contact Information

Primary practice address
2 Miles East Of Boley On Hwy 62 Boley OK 74829
Phone: (918) 667-3367
Fax: (918) 667-3387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R0040903 Oklahoma

Profile Details

NPI number 1902137912
LBN Legal business name Farris, Carolyn M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2010
Last updated May 10th, 2010 - about 16 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 1902137912 NPPES
Oklahoma MEDICAID 100685660A
Oklahoma MEDICAID 100685660D

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