Provider Demographics
NPI:1083018964
Name:TODD HENRY FARISHIAN
Entity Type:Organization
Organization Name:TODD HENRY FARISHIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:H
Authorized Official - Last Name:FARISHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-552-0751
Mailing Address - Street 1:2108 WERRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-3330
Mailing Address - Country:US
Mailing Address - Phone:919-552-0751
Mailing Address - Fax:
Practice Address - Street 1:2108 WERRINGTON DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-3330
Practice Address - Country:US
Practice Address - Phone:919-552-0751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FARISHIAN CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4224111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty