Individual
JEFFREY L FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N CAPITOL AVE, E-140, INDIANAPOLIS, IN 46202-1218
(317) 962-2894
(317) 963-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068755A
IN
208000000X
Pediatrics Physician
01068755A
IN
208M00000X
Hospitalist Physician
01068755
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000751736
ANTHEM PTAN
IN
05
—
201071390
—
IN
Enumeration date
06/03/2008
Last updated
03/07/2025
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