Humphries, Crystal E

Humphries, Crystal E is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Humphries, Crystal E can be contacted via phone (864) 560-7050.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-7050
Fax: (864) 560-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 73007 South Carolina

Profile Details

NPI number 1700882131
LBN Legal business name Humphries, Crystal E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 21st, 2021 - about 3 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 1700882131 NPPES
South Carolina Other P00729159 RAILROAD MEDICARE
South Carolina MEDICAID 7004423 RAILROAD MEDICARE
South Carolina Other Q318733365 RAILROAD MEDICARE
South Carolina Other Q318734746 RAILROAD MEDICARE
South Carolina MEDICAID NP0021 RAILROAD MEDICARE

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