Smith, Isaac Matthew Humphers

Smith, Isaac Matthew Humphers is an sole proprietor health care provider with primary practice located at 955 Golden Way , Los Altos CA 94024-5068. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Smith, Isaac Matthew Humphers can be contacted via phone (650) 796-6345.

Contact Information

Primary practice address
955 Golden Way Los Altos CA 94024-5068
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1275913295
LBN Legal business name Smith, Isaac Matthew Humphers
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2015
Last updated Jun 4th, 2015 - about 10 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 1275913295 NPPES
California Other 44AV MEDI-CAL PRV NBR

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