Humphrey, Frederic A.
Humphrey, Frederic A. is an individual health care provider with primary practice located at 4727 State Route 60 , Marietta OH 45750-5360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Humphrey, Frederic A. can be contacted via phone (740) 374-4590.Contact Information
Primary practice address
4727 State Route 60
Marietta OH 45750-5360
Phone: (740) 374-4590
Fax: (740) 568-0310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34002561H | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 671 | West Virginia |
Profile Details
| NPI number | 1366438848 |
|---|---|
| LBN Legal business name | Humphrey, Frederic A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jan 15th, 2015 - about 9 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 | 1366438848 | NPPES |
| Other | 000000118170 | ANTHEM | |
| MEDICAID | 0083356000 | ANTHEM | |
| MEDICAID | 0367802 | ANTHEM |
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