Humphrey, Roger Lea

Humphrey, Roger Lea is an individual health care provider with primary practice located at 2801 New Hartford Rd , Owensboro KY 42303-1320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Humphrey, Roger Lea can be contacted via phone (270) 683-3720.

Contact Information

Primary practice address
2801 New Hartford Rd Owensboro KY 42303-1320
Phone: (270) 683-3720
Fax: (270) 686-7331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01046282A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01046282A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 19761 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 19761 Kentucky

Profile Details

NPI number 1245239292
LBN Legal business name Humphrey, Roger Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Nov 27th, 2023 - about 3 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 1245239292 NPPES
Indiana Other 200132180 MOLINA
Indiana MEDICAID 200132180 MOLINA
Indiana Other 611059472 MOLINA
Indiana MEDICAID 64197619 MOLINA
Indiana Other 6110594722109 MOLINA
Indiana Other 000000048413 MOLINA
Indiana Other 611059472 MOLINA
Indiana Other 020038275 MOLINA

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