Humphreys, Stacey Michelle
Humphreys, Stacey Michelle is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 530, Columbia SC 29203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Humphreys, Stacey Michelle can be contacted via phone (803) 434-4603.Contact Information
Primary practice address
9 Richland Medical Park Dr Ste 530
Columbia SC 29203
Phone: (803) 434-4603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37377 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 23402 | West Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 37377 | South Carolina |
Profile Details
| NPI number | 1861698128 |
|---|---|
| LBN Legal business name | Humphreys, Stacey Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | May 20th, 2019 - about 5 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 | 1861698128 | NPPES |
| South Carolina | MEDICAID | 373777 |
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