Humeniuk, John Michael
Humeniuk, John Michael is an sole proprietor health care provider with primary practice located at 21 Memorial Medical Dr , Greenville SC 29605-4407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Humeniuk, John Michael can be contacted via phone (864) 295-9085.Contact Information
Primary practice address
21 Memorial Medical Dr
Greenville SC 29605-4407
Phone: (864) 295-9085
Fax: (864) 295-1075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 10819 | South Carolina |
Profile Details
| NPI number | 1639164528 |
|---|---|
| LBN Legal business name | Humeniuk, John Michael |
| Credentials | M.D., LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Dec 20th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639164528 | NPPES |
| South Carolina | MEDICAID | 108190 |
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