Humphrey, Mark S
Humphrey, Mark S is an individual health care provider with primary practice located at 12200 W 106Th St Suite 400, Overland Park KS 66215-2305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Humphrey, Mark S can be contacted via phone (913) 541-8897.Contact Information
Primary practice address
12200 W 106Th St Suite 400
Overland Park KS 66215-2305
Phone: (913) 541-8897
Fax: (913) 541-9135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0421147 | Kansas |
Profile Details
| NPI number | 1386733731 |
|---|---|
| LBN Legal business name | Humphrey, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Feb 9th, 2022 - about 3 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 | 1386733731 | NPPES |
| Kansas | MEDICAID | 100114030B | |
| Kansas | Other | 15113011 | |
| Kansas | MEDICAID | 1386733731 | |
| Kansas | MEDICAID | 100114030A |
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