Provider Demographics
NPI:1902014251
Name:FARKAS, JAMES TIMOTHY (DC FIAMA)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TIMOTHY
Last Name:FARKAS
Suffix:
Gender:M
Credentials:DC FIAMA
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 397
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-0007
Mailing Address - Country:US
Mailing Address - Phone:641-472-4924
Mailing Address - Fax:
Practice Address - Street 1:112 W BROADWAY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IA
Practice Address - Zip Code:52556-0007
Practice Address - Country:US
Practice Address - Phone:641-472-4934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05117111N00000X
MN2188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0233080Medicaid
IA23308Medicare ID - Type Unspecified