Humphrey, William Merritt

Humphrey, William Merritt is an individual health care provider with primary practice located at 315 N. Washington Avenue, Suite 103 , Cookeville TN 38501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Humphrey, William Merritt can be contacted via phone (931) 528-2443.

Contact Information

Primary practice address
315 N. Washington Avenue, Suite 103 Cookeville TN 38501
Phone: (931) 528-2443
Fax: (931) 528-1488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD06278 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 6278 Tennessee

Profile Details

NPI number 1043244684
LBN Legal business name Humphrey, William Merritt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043244684 NPPES
Tennessee MEDICAID 3193466

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