Humphreys, Andrea Pearl

Humphreys, Andrea Pearl is an individual health care provider with primary practice located at 3213 N 8Th Pl , Broken Arrow OK 74012-8221. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Humphreys, Andrea Pearl can be contacted via phone (918) 894-3700.

Contact Information

Primary practice address
3213 N 8Th Pl Broken Arrow OK 74012-8221
Phone: (918) 894-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1231 Oklahoma

Profile Details

NPI number 1003851114
LBN Legal business name Humphreys, Andrea Pearl
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 29th, 2014 - 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 1003851114 NPPES
Oklahoma MEDICAID 200017780

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