Healthcare Provider Details
I. General information
NPI: 1396813978
Provider Name (Legal Business Name): HUFFMAN AND HUFFMAN PSC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2006
Last Update Date: 09/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
303 LANGDON STREET
SOMERSET KY
42503
US
IV. Provider business mailing address
303 LANGDON STREET
SOMERSET KY
42503
US
V. Phone/Fax
- Phone: 606-679-7461
- Fax: 606-679-8202
- Phone: 606-679-7461
- Fax: 606-679-8202
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
GLENN
HUFFMAN
Title or Position: CO PRESIDENT
Credential: MD
Phone: 606-877-1877