Humphrey, Teresa M
Humphrey, Teresa M is an sole proprietor health care provider with primary practice located at 4611 N Morris Blvd , Shorewood WI 53211-1121. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Humphrey, Teresa M can be contacted via phone (414) 243-9851.Contact Information
Primary practice address
4611 N Morris Blvd
Shorewood WI 53211-1121
Phone: (414) 243-9851
Fax: (262) 548-8084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 91497-030 | Wisconsin |
Profile Details
| NPI number | 1609053792 |
|---|---|
| LBN Legal business name | Humphrey, Teresa M |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2008 |
| Last updated | Jan 30th, 2008 - about 16 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 | 1609053792 | NPPES |
| Wisconsin | MEDICAID | 39863800 |
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