Humphrey, James M.

Humphrey, James M. is an individual health care provider with primary practice located at 221 S. 19Th Street , Terre Haute IN 47807-4129. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Humphrey, James M. can be contacted via phone (812) 232-0064.

Contact Information

Primary practice address
221 S. 19Th Street Terre Haute IN 47807-4129
Phone: (812) 232-0064
Fax: (812) 232-3834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 12009022A Indiana

Profile Details

NPI number 1023267770
LBN Legal business name Humphrey, James M.
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2008
Last updated Sep 17th, 2008 - about 16 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 1023267770 NPPES
Indiana MEDICAID 100252020A

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