| Frederic A. Humphrey,d.o.inc. | |
|
4727 State Route 60 Marietta OH 45750-5360 | |
| (740) 374-4590 | |
| (740) 568-0310 |
| Full Name | Frederic A. Humphrey,d.o.inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4727 State Route 60, Marietta, Ohio |
| Authorized Official Name and Position | Frederic Adair Humphrey (PRESIDENT) |
| Authorized Official Contact | 17403744590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederic A. Humphrey,d.o.inc. 4727 State Route 60 Marietta OH 45750-5360 Ph: (740) 374-4590 | Frederic A. Humphrey,d.o.inc. 4727 State Route 60 Marietta OH 45750-5360 Ph: (740) 374-4590 |
| NPI Number | 1801008073 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801008073 | NPI | - | NPPES |
| 0083356000 | Medicaid | WV | |
| 0367802 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34002561H (Ohio) | Primary |
Procare Vision Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 2nd St, Marietta, OH 45750 Phone: 740-374-3937 Fax: 740-376-9437 | |
Ohio Valley Medical Quickcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 324 Pike St, Marietta, OH 45750 Phone: 740-374-4540 Fax: 740-374-3373 | |
Ohio Valley Emergency Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Putnam St, Marietta, OH 45750 Phone: 740-374-9990 | |
Hl Krupadev Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 408 Third Street, Marietta, OH 45750 Phone: 740-373-5119 | |
Knowlton Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Pike St, 7a, Marietta, OH 45750 Phone: 740-629-8528 | |
Marietta Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Putnam St, Marietta, OH 45750 Phone: 740-236-1232 Fax: 740-236-9191 | |
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