Humphrey, Peter A

Humphrey, Peter A is an individual health care provider with primary practice located at 216 S Kingshighway Blvd , Saint Louis MO 63110-1026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Humphrey, Peter A can be contacted via phone (314) 362-5641.

Contact Information

Primary practice address
216 S Kingshighway Blvd Saint Louis MO 63110-1026
Fax: (314) 362-0369
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 100219 Missouri

Profile Details

NPI number 1225056922
LBN Legal business name Humphrey, Peter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 29th, 2018 - about 7 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 1225056922 NPPES
Missouri MEDICAID 023010176

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