Dr. James M. Humphrey
Periodontist
221 S. 19th Street
Terre Haute
, Indiana 47807-4129
Dr. James M. Humphrey
Periodontist
221 S. 19th Street
Terre Haute
, Indiana 47807-4129
(812) 232-3834
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. James M. Humphrey
- 221 S. 19th Street
- Terre Haute, IN
- Zip : 47807-4129
- Fax : (812) 232-3834
- Phone : (812) 232-0064
Second Address
- Dr. James M. Humphrey
- 221 S. 19th Street
- Terre Haute, IN
- Zip : 47807-4129
- Fax : (812) 232-3834
- Phone : (812) 232-0064
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 12009022A | IN |
National Provider Identifier
| NPI | 1023267770 |
|---|---|
| Provider Name | Dr. James M. Humphrey |
| First Address | Terre Haute, IN 47807-4129 |
| Second Address | Terre Haute, IN 47807-4129 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2008 |
| Last Update Date | 17/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100252020A | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.