Humphrey, Paul William
Humphrey, Paul William is an individual health care provider with primary practice located at 3220 Bluff Creek Dr Ste 100, Columbia MO 65201-3525. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Humphrey, Paul William can be contacted via phone (573) 443-8773.Contact Information
Primary practice address
3220 Bluff Creek Dr Ste 100
Columbia MO 65201-3525
Phone: (573) 443-8773
Fax: (573) 443-6843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R8N86 | Missouri |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | R8N86 | Missouri |
Profile Details
| NPI number | 1528062338 |
|---|---|
| LBN Legal business name | Humphrey, Paul William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Nov 22nd, 2021 - 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 | 1528062338 | NPPES |
| Missouri | Other | 28058 | GHP |
| Missouri | Other | 4343322 | GHP |
| Missouri | Other | 18421 | GHP |
| Missouri | Other | 431428562 | GHP |
| Missouri | Other | 342470 | GHP |
| Missouri | Other | 223429 | GHP |
| Missouri | Other | 3476 | GHP |
| Missouri | Other | 1284581 | GHP |
| Missouri | MEDICAID | 203559109 | GHP |
| Missouri | Other | F37040 | GHP |
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