Humphries, Holly

Humphries, Holly is an sole proprietor health care provider with primary practice located at East Highway 18 , Pine Ridge SD 57770. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Humphries, Holly can be contacted via phone (605) 867-3006.

Contact Information

Primary practice address
East Highway 18 Pine Ridge SD 57770
Phone: (605) 867-3006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 262299 North Carolina

Profile Details

NPI number 1750838074
LBN Legal business name Humphries, Holly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2016
Last updated Sep 2nd, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750838074 NPPES
South Dakota MEDICAID 1497786412

Popular Providers