Individual
JULIE A FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 HOME ST, GEORGETOWN, OH 45121-1407
(937) 378-6121
(937) 378-7860
Mailing address
PO BOX 632034, CINCINNATI, OH 45263-2034
(513) 852-2451
(513) 852-2441
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35048758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015875
ANTHEM
—
05
—
0566927
—
OH
05
—
200125500A
—
IN
01
—
300076825
MEDICARE RAILROAD
—
01
—
311336104006
MEDICAL MUTUAL
—
05
—
64317548
—
KY
Enumeration date
05/25/2006
Last updated
08/23/2007
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