Humphrey, Debora Lea

Humphrey, Debora Lea is an individual health care provider with primary practice located at 74 Eclipse Ctr , Beloit WI 53511-3550. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Humphrey, Debora Lea can be contacted via phone (608) 361-0311.

Contact Information

Primary practice address
74 Eclipse Ctr Beloit WI 53511-3550
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7886-125 Wisconsin

Profile Details

NPI number 1699161166
LBN Legal business name Humphrey, Debora Lea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2015
Last updated Jan 18th, 2021 - about 5 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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