Individual
DR. ERIC M HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S CLEVELAND AVE, WESTERVILLE, OH 43081-8971
(614) 898-6659
(614) 898-8631
Mailing address
PO BOX 20452, COA-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35061209
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35061209
OH
207R00000X
Internal Medicine Physician
35061209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0814604
—
OH
Enumeration date
07/19/2005
Last updated
10/06/2014
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