Farris, Rauchel Chelan

Farris, Rauchel Chelan is an sole proprietor health care provider with primary practice located at 2202 N Stockton Hill Rd Ste 100 , Kingman AZ 86401-4622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Farris, Rauchel Chelan can be contacted via phone (928) 681-8706.

Contact Information

Primary practice address
2202 N Stockton Hill Rd Ste 100 Kingman AZ 86401-4622
Fax: (928) 681-8707
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP10290 Arizona

Profile Details

NPI number 1891215455
LBN Legal business name Farris, Rauchel Chelan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2017
Last updated Dec 23rd, 2021 - about 5 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 1891215455 NPPES
Arizona MEDICAID 283453

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