Humphrey, Miles Hubbard
Humphrey, Miles Hubbard is an sole proprietor health care provider with primary practice located at 238 Martin St , Twin Falls ID 83301-4542. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Humphrey, Miles Hubbard can be contacted via phone (208) 734-4670.Contact Information
Primary practice address
238 Martin St
Twin Falls ID 83301-4542
Phone: (208) 734-4670
Fax: (208) 734-4990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M3006 | Idaho |
Profile Details
| NPI number | 1710983176 |
|---|---|
| LBN Legal business name | Humphrey, Miles Hubbard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | May 11th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710983176 | NPPES |
| Idaho | Other | DW094 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 002581400 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010135113 | BLUE CROSS OF IDAHO |
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