| Jill M Farley Pllc | |
|
117 E Prospect Rd. Lake City MI 49651 | |
| (231) 846-8336 | |
| Not Available |
| Full Name | Jill M Farley Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 117 E Prospect Rd., Lake City, Michigan |
| Authorized Official Name and Position | Jill Farley (OWNER) |
| Authorized Official Contact | 2318468336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill M Farley Pllc 5135 W Lotan Rd Lake City MI 49651-9016 Ph: (231) 846-8336 | Jill M Farley Pllc 117 E Prospect Rd. Lake City MI 49651 Ph: (231) 846-8336 |
| NPI Number | 1326899485 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 9931540622 |
|---|---|
| Medicare Enrollment ID | O20240513001408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326899485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jill Marie Farley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467884528 PECOS PAC ID: 6002280492 Enrollment ID: I20230327001585 |
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