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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275913295 | NPPES |
California | Other | 44AV | MEDI-CAL PRV NBR |
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