Provider Demographics
NPI:1225246648
Name:FARRELL, JOHN J (NMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:FARRELL
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19803
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28815-1803
Mailing Address - Country:US
Mailing Address - Phone:828-707-3504
Mailing Address - Fax:
Practice Address - Street 1:1141 TUNNEL RD.
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28815-1803
Practice Address - Country:US
Practice Address - Phone:828-707-3504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-118175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath