Humphrey, Charles Rogers

Humphrey, Charles Rogers is an sole proprietor health care provider with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Humphrey, Charles Rogers can be contacted via phone (760) 355-2207.

Contact Information

Primary practice address
1415 Ross Ave El Centro CA 92243-4306
Phone: (760) 355-2207
Fax: (760) 355-2207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G23919 California

Profile Details

NPI number 1447355508
LBN Legal business name Humphrey, Charles Rogers
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Feb 28th, 2008 - 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 1447355508 NPPES
California MEDICAID 00G239190

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