Provider Demographics
NPI:1447855143
Name:FARQUHAR, MICHAEL F
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:FARQUHAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BOUNDBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-1836
Mailing Address - Country:US
Mailing Address - Phone:937-609-7820
Mailing Address - Fax:
Practice Address - Street 1:34 BOUNDBROOK DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-1836
Practice Address - Country:US
Practice Address - Phone:937-609-7820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant