Humphrey, Cassandra Dawn

Humphrey, Cassandra Dawn is an individual health care provider with primary practice located at 593 Township Road 147 , Kitts Hill OH 45645-8836. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Humphrey, Cassandra Dawn can be contacted via phone (740) 643-2840.

Contact Information

Primary practice address
593 Township Road 147 Kitts Hill OH 45645-8836
Phone: (740) 643-2840
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN193231 Ohio

Profile Details

NPI number 1174660369
LBN Legal business name Humphrey, Cassandra Dawn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 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 1174660369 NPPES
Ohio MEDICAID 2278137

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