Humphrey, John A

Humphrey, John A is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Palliative Care, Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Humphrey, John A can be contacted via phone (414) 266-6469.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Palliative Care Milwaukee WI 53226-4874
Phone: (414) 266-6469
Fax: (414) 266-1761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 22403 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 22403 Wisconsin

Profile Details

NPI number 1386695112
LBN Legal business name Humphrey, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 25th, 2013 - about 12 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 1386695112 NPPES
Wisconsin MEDICAID 1386695112
Wisconsin Other 008906261C

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