Provider Demographics
NPI:1952332215
Name:FERREE, HOMER ALOYS JR (MD)
Entity Type:Individual
Prefix:
First Name:HOMER
Middle Name:ALOYS
Last Name:FERREE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 950248
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0248
Mailing Address - Country:US
Mailing Address - Phone:812-945-2717
Mailing Address - Fax:812-948-6572
Practice Address - Street 1:7600 HWY 60
Practice Address - Street 2:SUITE 100
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1224
Practice Address - Country:US
Practice Address - Phone:812-246-8193
Practice Address - Fax:812-246-0825
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01029457A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100066310Medicaid
INB95772Medicare UPIN
ININ1189105Medicare PIN