Humphrey, John A
Humphrey, John A is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Palliative Care, Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Humphrey, John A can be contacted via phone (414) 266-6469.Contact Information
Primary practice address
9000 W Wisconsin Ave Pediatric Palliative Care
Milwaukee WI 53226-4874
Phone: (414) 266-6469
Fax: (414) 266-1761
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 22403 | Wisconsin |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2080H0002X | 22403 | Wisconsin |
Profile Details
NPI number | 1386695112 |
---|---|
LBN Legal business name | Humphrey, John A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Jan 25th, 2013 - about 11 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 | 1386695112 | NPPES |
Wisconsin | MEDICAID | 1386695112 | |
Wisconsin | Other | 008906261C |
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