Dr. Michael J. Farrell IV
Family Doctor Family Doctor - Addiction Medicine Geriatric Medicine
520 N Main St Ste 336
Heber City
, Utah 84032-1216
Dr. Michael J. Farrell IV
Family Doctor Family Doctor - Addiction Medicine Geriatric Medicine
520 N Main St Ste 336
Heber City
, Utah 84032-1216
(801) 397-4000
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael J. Farrell IV
- 520 N Main St Ste 336
- Heber City, UT
- Zip : 84032-1216
- Phone : (801) 397-4000
Second Address
- Dr. Michael J. Farrell IV
- 520 N Main St Ste 336
- Heber City, UT
- Zip : 84032-1216
- Phone : (801) 397-4040
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Is Dr. Michael J. Farrell IV a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 10074148-1204 | UT |
| N | 207Q00000X | Family Doctor | 20A12688 | CA |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 10074148-1204 | UT |
| Y | 207RG0300X | Geriatric Medicine | 10074148-1204 | UT |
National Provider Identifier
| NPI | 1619264397 |
|---|---|
| Provider Name | Dr. Michael J. Farrell IV |
| First Address | Heber City, UT 84032-1216 |
| Second Address | Heber City, UT 84032-1216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2011 |
| Last Update Date | 06/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.