Farris, Teresa Kay

Farris, Teresa Kay is an individual health care provider with primary practice located at 1850 Gateway Drive , Sycamore IL 60178. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Farris, Teresa Kay can be contacted via phone (815) 758-8671.

Contact Information

Primary practice address
1850 Gateway Drive Sycamore IL 60178
Phone: (815) 758-8671
Fax: (815) 758-7298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209010009 Illinois

Profile Details

NPI number 1114262656
LBN Legal business name Farris, Teresa Kay
Credentials APN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2012
Last updated May 12th, 2017 - about 9 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 1114262656 NPPES
Illinois Other F400201342 MEDICARE INDIVIDUAL
Illinois Other 036115212 MEDICARE INDIVIDUAL
Illinois Other IL6310 MEDICARE INDIVIDUAL

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