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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639164528 NPPES
South Carolina MEDICAID 108190

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