Humphrey, John Stewart

Humphrey, John Stewart is an individual health care provider with primary practice located at 319 S Silver Springs Rd Ste C, Cape Girardeau MO 63703-6308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Humphrey, John Stewart can be contacted via phone (573) 334-4263.

Contact Information

Primary practice address
319 S Silver Springs Rd Ste C Cape Girardeau MO 63703-6308
Phone: (573) 334-4263
Fax: (573) 334-3699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A99381 California
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME95230 Florida
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2009 023 891 Missouri

Profile Details

NPI number 1467496646
LBN Legal business name Humphrey, John Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 8th, 2010 - about 14 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 1467496646 NPPES
Missouri MEDICAID 507543601
Missouri Other 43-1817986
Missouri Other 43-1817986
Missouri Other 1270930001
Missouri Other 000000633050
Missouri Other 43-1817986
Missouri Other PENDING
Missouri Other 979387
Missouri Other P00792431

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