Farris, Walter Kelley
Farris, Walter Kelley is an sole proprietor health care provider with primary practice located at 1515 N Harlem Ave Ste 200 , Oak Park IL 60302-1277. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Farris, Walter Kelley can be contacted via phone (708) 848-2853.Contact Information
Primary practice address
1515 N Harlem Ave Ste 200
Oak Park IL 60302-1277
Phone: (708) 848-2853
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.032072 | Illinois |
Profile Details
| NPI number | 1780235655 |
|---|---|
| LBN Legal business name | Farris, Walter Kelley |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2019 |
| Last updated | Sep 23rd, 2019 - about 7 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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