Humphrey, Michael L

Humphrey, Michael L is an individual health care provider with primary practice located at 1414 9Th Ave Station Medical Center, Altoona PA 16602-2454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Humphrey, Michael L can be contacted via phone (814) 946-1655.

Contact Information

Primary practice address
1414 9Th Ave Station Medical Center Altoona PA 16602-2454
Phone: (814) 946-1655
Fax: (814) 949-7616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X OS008403L Pennsylvania

Profile Details

NPI number 1093793572
LBN Legal business name Humphrey, Michael L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Apr 20th, 2012 - about 12 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 1093793572 NPPES
Pennsylvania MEDICAID 001464990001

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