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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

DOUGLAS M FARRAGO, MD
1149 VISTA PARK DR
SUITE C
FOREST, VA24551-4684
 Phone: 434-616-2455
 Fax: 434-253-1806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DOUGLAS M FARRAGO · (Male)

NPI Number 1518994573
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 02/17/2015 - More than a year ago
Sole proprietor 1 Yes
Identifiers
ME License # 014273
ME Medicaid 294100099
ME Medicare PIN MM6877
ME Medicare UPIN G51277
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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