Humphrey, Stanley Earl

Humphrey, Stanley Earl is an individual health care provider with primary practice located at 307 S Main , Gallatin MO 64640. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Humphrey, Stanley Earl can be contacted via phone (660) 663-2814.

Contact Information

Primary practice address
307 S Main Gallatin MO 64640
Fax: (660) 663-2822
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 14168 Missouri

Profile Details

NPI number 1902914682
LBN Legal business name Humphrey, Stanley Earl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1902914682 NPPES
Kansas Other 10798011 BCBS

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