David Lee Humphrey Sr., D.C.
Individual provider Active NPI Chiropractor · Elizabethville, PA
NPI 1104020320 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1104020320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC009931 (PA)
- Practice address
- 129 Locust St
Elizabethville, PA 17023-8727 - Phone
- (717) 362-1288
- Fax
- (717) 362-1287
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011524 | NY | MD | Chiropractor |
| DC009931 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perk Healthcare, LLC | Chiropractor | Past |
Accepting new patients |
| Bellis Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009931 | PA | Yes |
| Chiropractor | 111N00000X | X011524 | NY |
Addresses
Primary practice location
129 Locust St
Elizabethville, PA 17023-8727
Mailing address
129 Locust St
Elizabethville, PA 17023-8727
Phone (717) 362-1288
Other providers in Elizabethville, PA
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All providers in Elizabethville, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.