Humphrey, John Wayne
Humphrey, John Wayne is an sole proprietor health care provider with primary practice located at 329 State Road , Great Barrington MA 01230-1496. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Humphrey, John Wayne can be contacted via phone (413) 528-4701.Contact Information
Primary practice address
329 State Road
Great Barrington MA 01230-1496
Phone: (413) 528-4701
Fax: (413) 528-4701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 323 | Massachusetts |
Profile Details
| NPI number | 1922117928 |
|---|---|
| LBN Legal business name | Humphrey, John Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jun 2nd, 2009 - about 15 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 | 1922117928 | NPPES |
| Massachusetts | Other | AA25033 | HARVARD PILGRIM HEALTH |
| Massachusetts | Other | 665308 | HARVARD PILGRIM HEALTH |
| Massachusetts | MEDICAID | 1602691 | HARVARD PILGRIM HEALTH |
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