Humphreys, Tatyana

Humphreys, Tatyana is an individual health care provider with primary practice located at 306 Gypsy Ln , Wynnewood PA 19096-1103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Humphreys, Tatyana can be contacted via phone (484) 343-8751.

Contact Information

Primary practice address
306 Gypsy Ln Wynnewood PA 19096-1103
Phone: (484) 343-8751
Fax: (610) 572-7262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD047761L Pennsylvania
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD047761L Pennsylvania

Profile Details

NPI number 1184645731
LBN Legal business name Humphreys, Tatyana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Sep 29th, 2020 - about 4 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 1184645731 NPPES
New Jersey MEDICAID 7582706
New Jersey MEDICAID 0016592

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