Humpal, Matthew Randal
Humpal, Matthew Randal is an individual health care provider with primary practice located at 501 1St Ave , South Sioux City NE 68776-1703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Humpal, Matthew Randal can be contacted via phone (402) 494-3064.Contact Information
Primary practice address
501 1St Ave
South Sioux City NE 68776-1703
Phone: (402) 494-3064
Fax: (712) 294-7299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-42604 | Iowa |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1609135375 |
|---|---|
| LBN Legal business name | Humpal, Matthew Randal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2012 |
| Last updated | Feb 21st, 2020 - about 6 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 | 1609135375 | NPPES |
| Nebraska | MEDICAID | 47068731712 |
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