Individual
ALAN FARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 DECKER DR, MIAMISBURG, OH 45342-6415
(231) 492-4587
Mailing address
3802 PAXTON AVE STE 1, CINCINNATI, OH 45209-2399
(513) 559-9700
(513) 559-0900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.093391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104462999
—
MI
05
—
200997410
—
IN
05
—
3110869
—
OH
01
—
AF048957
BLUE SHIELD PIN
MI
01
—
MI430448957
BLUE CROSS PIN
MI
Enumeration date
02/19/2007
Last updated
04/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us