Humphries, Robert

Humphries, Robert is an individual health care provider with primary practice located at 1201 S Main St Suite 100, North Canton OH 44720-4283. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Humphries, Robert can be contacted via phone (330) 244-8782.

Contact Information

Primary practice address
1201 S Main St Suite 100 North Canton OH 44720-4283
Phone: (330) 244-8782
Fax: (330) 244-8795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5492 Ohio

Profile Details

NPI number 1447319181
LBN Legal business name Humphries, Robert
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jun 26th, 2010 - about 16 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 1447319181 NPPES
Ohio Other 083656000 MAGELLAN
Ohio Other 191242 MAGELLAN
Ohio Other 341302914034 MAGELLAN
Ohio MEDICAID 2106563 MAGELLAN
Ohio Other 000000130016 MAGELLAN

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