Humburg, Lorel Jean V

Humburg, Lorel Jean V is an sole proprietor health care provider with primary practice located at 2323 Saint Matthews Rd , Orangeburg SC 29118-2042. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Humburg, Lorel Jean V can be contacted via phone (803) 707-8397.

Contact Information

Primary practice address
2323 Saint Matthews Rd Orangeburg SC 29118-2042
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SC6583 South Carolina

Profile Details

NPI number 1164457719
LBN Legal business name Humburg, Lorel Jean V
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Dec 8th, 2009 - about 16 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 1164457719 NPPES
South Carolina MEDICAID 413093

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