Humphreys, Michelle E

Humphreys, Michelle E is an individual health care provider with primary practice located at 830 Pennsylvania Ave Suite 304, Charleston WV 25302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Humphreys, Michelle E can be contacted via phone (304) 388-1515.

Contact Information

Primary practice address
830 Pennsylvania Ave Suite 304 Charleston WV 25302
Phone: (304) 388-1515
Fax: (304) 388-1570
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 41918 West Virginia

Profile Details

NPI number 1124128905
LBN Legal business name Humphreys, Michelle E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1124128905 NPPES
West Virginia MEDICAID 3810003794

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