Humeniuk, John Michael
Humeniuk, John Michael is an sole proprietor health care provider with primary practice located at 21 Memorial Medical Dr , Greenville SC 29605-4407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Humeniuk, John Michael can be contacted via phone (864) 295-9085.Contact Information
Primary practice address
21 Memorial Medical Dr
Greenville SC 29605-4407
Phone: (864) 295-9085
Fax: (864) 295-1075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 10819 | South Carolina |
Profile Details
| NPI number | 1639164528 |
|---|---|
| LBN Legal business name | Humeniuk, John Michael |
| Credentials | M.D., LLC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Dec 20th, 2013 - about 13 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 | 1639164528 | NPPES |
| South Carolina | MEDICAID | 108190 |
Popular Providers
-
Defazio, Jennifer Marie
517 Moye Blvd , Greenville NC 27834-2849 -
Mink, Kenneth R
3800 W 12Th St , Erie PA 16505-3380 -
Eyre, Russell Warren
486 W 800 N Ste 201, Orem UT 84057-3728 -
Taylor, James H
600 W Plymouth Ave , Deland FL 32720-3260 -
Huether, Michael J.
5980 N La Cholla Blvd , Tucson AZ 85741-3535 -
De Castro, Fernando R.
250 Fountain Ct , Lexington KY 40509-1888 -
Echt, Audrey F
10931 Raven Ridge Rd Ste 101, Raleigh NC 27614-6499 -
Benson, Paul Michael
1009 North State Of Franklin Access Road , Johnson City TN 37604