Humphrey, Sidney Alan

Humphrey, Sidney Alan is an individual health care provider with primary practice located at 5430 Maccorkle Ave Se , Charleston WV 25304-2224. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Humphrey, Sidney Alan can be contacted via phone (304) 925-3627.

Contact Information

Primary practice address
5430 Maccorkle Ave Se Charleston WV 25304-2224
Phone: (304) 925-3627
Fax: (304) 925-1163
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 306 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 811 West Virginia

Profile Details

NPI number 1659349405
LBN Legal business name Humphrey, Sidney Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 2nd, 2016 - about 8 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.

Request for update

Popular Providers