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Contact Information

BENJAMIN R HUMPHERYS, DO
2121 N 1700 W
LAYTON, UT84041-8803
 Phone: 801-773-4840
 Fax: 801-525-8702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BENJAMIN R HUMPHERYS · (Male)

NPI Number 1891728036
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/09/2006
Last updated 11/21/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 4452
  • UT License # 6565196-1204
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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