Individual
ENOCH M FARMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
36475 EUCLID AVE, WILLOUGHBY, OH 44094-4448
(740) 317-7089
Mailing address
36475 EUCLID AVENUE, WILLOUGHBY, OH 44094
(740) 317-7089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11073-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047796
—
OH
Enumeration date
10/27/2009
Last updated
07/13/2011
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