Provider Demographics
NPI:1447394150
Name:FARRIN, JOHN C (MD, JD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:FARRIN
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:FARRIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, JD
Mailing Address - Street 1:1835 FRANKLIN ST
Mailing Address - Street 2:ED@ESJH
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1126
Mailing Address - Country:US
Mailing Address - Phone:303-318-2222
Mailing Address - Fax:
Practice Address - Street 1:1835 FRANKLIN ST
Practice Address - Street 2:ED @ ESJH
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1126
Practice Address - Country:US
Practice Address - Phone:303-318-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22431207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01224310Medicaid
005935OtherKAISER-COMMERCIAL NUMBER
CO01224310Medicaid
005935OtherKAISER-COMMERCIAL NUMBER