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Contact Information

SUSAN B HUMPHREYS MD PC
CARROLL & TATE STREETS
LEBANON, VA24266
 Phone: 276-523-7943
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SUSAN B HUMPHREYS MD PC · (Female)

NPI Number 1902900061
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2006
Last updated 10/25/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101038126
  • VA Other 236019 ANTHEM BCBS
  • VA Other DD2295 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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