Healthcare Provider Details

I. General information

NPI: 1225246648
Provider Name (Legal Business Name): JOHN J FARRELL N.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 TUNNEL RD.
ASHEVILLE NC
28815-1803
US

IV. Provider business mailing address

PO BOX 19803
ASHEVILLE NC
28815-1803
US

V. Phone/Fax

Practice location:
  • Phone: 828-707-3504
  • Fax:
Mailing address:
  • Phone: 828-707-3504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-118
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: