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Individual

JEFFREY THOMAS HUMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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