Humble, James R

Humble, James R is an sole proprietor health care provider with primary practice located at 1910 Malvern Ave , Hot Springs AR 71901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Humble, James R can be contacted via phone (501) 321-1000.

Contact Information

Primary practice address
1910 Malvern Ave Hot Springs AR 71901
Phone: (501) 321-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X A810403 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C01434 Arkansas

Profile Details

NPI number 1124016415
LBN Legal business name Humble, James R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Aug 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124016415 NPPES
Arkansas Other 5X535 BCBS
Arkansas MEDICAID 152162701 BCBS
Arkansas Other P00373012 BCBS

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