Humphreys, Susan M
Humphreys, Susan M is an individual health care provider with primary practice located at 7205 University Ave Ne , Fridley MN 55432-3134. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Humphreys, Susan M can be contacted via phone (763) 571-4000.Contact Information
Primary practice address
7205 University Ave Ne
Fridley MN 55432-3134
Phone: (763) 571-4000
Fax: (763) 571-7202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 38259 | Minnesota |
Profile Details
| NPI number | 1679519094 |
|---|---|
| LBN Legal business name | Humphreys, Susan M |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679519094 | NPPES |
| Minnesota | MEDICAID | 939723000 |
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