Humpherys, Dwight

Humpherys, Dwight is an individual health care provider with primary practice located at 200 West Hospital Drive , Whiteriver AZ 85941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Humpherys, Dwight can be contacted via phone (928) 338-3740.

Contact Information

Primary practice address
200 West Hospital Drive Whiteriver AZ 85941
Fax: (928) 338-5508
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3820 Arizona

Profile Details

NPI number 1740293968
LBN Legal business name Humpherys, Dwight
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740293968 NPPES
Arizona MEDICAID 1427335181
Arizona MEDICAID 20561
Arizona MEDICAID 722737
Arizona MEDICAID 1427335140

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