Provider Demographics
NPI:1669107033
Name:ANJA FARIN LLC
Entity type:Organization
Organization Name:ANJA FARIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANJA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIN
Authorized Official - Suffix:
Authorized Official - Credentials:LM CPM
Authorized Official - Phone:262-977-6050
Mailing Address - Street 1:136 N MAIN ST STE 303
Mailing Address - Street 2:BOX 13
Mailing Address - City:THIENSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53092-1606
Mailing Address - Country:US
Mailing Address - Phone:262-977-6050
Mailing Address - Fax:920-843-9389
Practice Address - Street 1:136 N MAIN ST STE 303
Practice Address - Street 2:
Practice Address - City:THIENSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53092-1606
Practice Address - Country:US
Practice Address - Phone:262-977-6050
Practice Address - Fax:920-843-9389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty