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Contact Information

DR. FARRELL, LLC
301 W MYRTLE ST
BOISE, ID83702
 Phone: 208-342-8200
 Fax: 208-342-8202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for DR FARRELL LLC · (Female)

NPI Number 1194924514
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2007
Last updated 08/13/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # M-6441
  • ID Medicaid 003692900
  • ID Other 76755 BLUE CROSS OF IDAHO
  • ID Other 000010158339 BLUE SHIELD OF IDAHO
Hospital affiliation(s) Not Available
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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