Farris, Michael John

Farris, Michael John is an individual health care provider with primary practice located at 113 W Hickory St , Neosho MO 64850. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Farris, Michael John can be contacted via phone (417) 455-4276.

Contact Information

Primary practice address
113 W Hickory St Neosho MO 64850
Phone: (417) 455-4276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0430692 Kansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-14204 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2014009219 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0430692 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-14204 Arkansas

Profile Details

NPI number 1801891387
LBN Legal business name Farris, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 7th, 2023 - about 3 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 1801891387 NPPES
Missouri Other 2500021669 BNDD
Missouri Other 2014009219 BNDD
Missouri Other 0430692 BNDD
Missouri MEDICAID 200263590A BNDD

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