Healthcare Provider Details

I. General information

NPI: 1801821723
Provider Name (Legal Business Name): CATHERINE L FARINET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 INDIAN RIDGE DR
PIKETON OH
45661-9654
US

IV. Provider business mailing address

100 DAWN LN
WAVERLY OH
45690-9138
US

V. Phone/Fax

Practice location:
  • Phone: 740-289-1548
  • Fax: 740-289-3989
Mailing address:
  • Phone: 740-947-2186
  • Fax: 740-947-6556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35077357
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35077357
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: