National Provider Identifier Database

SUSAN B HUMPHREYS MD PC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

SUSAN B HUMPHREYS MD PC
CARROLL & TATE STREETS
LEBANON, VA24266
Phone: 276-523-7943
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for SUSAN B HUMPHREYS MD PC

NPI Number 1902900061
Legal business name
LBN
SUSAN B HUMPHREYS MD PC
Authorized official SUSAN HUMPHREYS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/11/2006
Last updated 10/25/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0101038126
  • VA Other: 236019 ANTHEM BCBS
  • VA Other: DD2295 RR MEDICARE

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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