Individual
TIMOTHY JOSEPH FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
213E VT ROUTE 15, JERICHO, VT 05465-9639
(802) 899-9991
(802) 899-1772
Mailing address
213E VT ROUTE 15, JERICHO, VT 05465-9639
(802) 899-9991
(802) 899-1772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0000989
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1502
—
VT
Enumeration date
12/12/2006
Last updated
04/03/2008
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