Individual
JEFFREY THOMAS HUMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 HUNDERTMARK RD STE 420, CHASKA, MN 55318-1459
(952) 448-3847
(952) 448-5083
Mailing address
14001 RIDGEDALE DR STE 100, MINNETONKA, MN 55305-1781
(952) 473-0211
(952) 473-7908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45232
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040719
PREFERRED ONE
—
01
—
1202922
MEDICA HEALTH PLANS
—
01
—
131391
UCARE
—
01
—
2121658
ARAZ GROUP AMERICAS PPO
—
01
—
300K6HU
BLUE CROSS BLUE SHIELD
—
01
—
300K7HU
BLUE CROSS BLUE SHIELD
—
01
—
50A45CE
BLUE CROSS BLUE SHIELD
—
01
—
50A61CE
BLUE CROSS BLUE SHIELD
—
01
—
782673700
MEDICAL ASSISTANCE
—
01
—
HP41441
HEALTH PARTNERS
—
Enumeration date
10/31/2005
Last updated
10/05/2017
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