Humphrey, David
Humphrey, David is an individual health care provider with primary practice located at 700 Chief Eddie Hoffman , Bethel AK 99559. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Humphrey, David can be contacted via phone (907) 543-6000.Contact Information
Primary practice address
700 Chief Eddie Hoffman
Bethel AK 99559
Phone: (907) 543-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 123621 | Alaska |
Profile Details
| NPI number | 1386169464 |
|---|---|
| LBN Legal business name | Humphrey, David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2017 |
| Last updated | Aug 9th, 2017 - about 8 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 | 1386169464 | NPPES |
| Alaska | MEDICAID | 123621 |
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