Organization
FAMILY WELLNESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A HUMPHREY D.O. (DOCTOR)
(724) 845-1145
Entity
Organization
Contact information
Practice address
1181 STATE ROUTE 356, LEECHBURG, PA 15656-2033
(724) 845-1145
(724) 845-1679
Mailing address
1181 STATE ROUTE 356, LEECHBURG, PA 15656-2033
(724) 845-1145
(724) 845-1679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-006017L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
PA
01
—
1992816615
INDIVIDUAL NPI NUMBER
PA
Enumeration date
12/05/2006
Last updated
05/21/2020
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