| Farthing Dermatology Llc | |
|
14540 Prairie Lakes Blvd N Ste 101 Noblesville IN 46060-4370 | |
| (317) 903-2346 | |
| Not Available |
| Full Name | Farthing Dermatology Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14540 Prairie Lakes Blvd N Ste 101, Noblesville, Indiana |
| Authorized Official Name and Position | Benjamin Farthing (CEO) |
| Authorized Official Contact | 3179032346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farthing Dermatology Llc 10570 Gardner Ct Fortville IN 46040-9277 Ph: (317) 903-2346 | Farthing Dermatology Llc 14540 Prairie Lakes Blvd N Ste 101 Noblesville IN 46060-4370 Ph: (317) 903-2346 |
| NPI Number | 1689484875 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 02/24/2025 |
| Medicare PECOS PAC ID | 0244769974 |
|---|---|
| Medicare Enrollment ID | O20250124003286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689484875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Benjamin Farthing |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194253898 PECOS PAC ID: 2466723424 Enrollment ID: I20210823001770 |
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