MEDICARE: MR. WILLIAM WALTER HUMCKE JR. RT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist	313202	NC

General Provider Information

NPI Number	:	1972765006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM WALTER HUMCKE JR. RT

Provider Business Mailing Address
First Line	:	1112 GOWER ST
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6920
Country	:	US
Telephone Number	:	803-396-1446
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 GOWER ST
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6920
Country	:	US
Telephone Number	:	803-396-1446
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	06/30/2008

Similar Medicare Providers

1679549034 — VERONICA A PHILBIN RN, CNS
Practice Location Address:

6920 POINTE INVERNESS WAY , #250
FORT WAYNE, IN
46804-7926

Practice Phone: 260-436-4060
Practice Fax: 260-436-5713

1578583910 — PSYCHIATRIC INNOVATIONS PC
Practice Location Address:

6920 POINTE INVERNESS WAY , #250
FORT WAYNE, IN
46804-7926

Practice Phone: 260-436-4060
Practice Fax: 260-436-5713

1174536346 — FAWVER WALDO CLINIC LLP
Practice Location Address:

6920 POINTE INVERNESS WAY , SUITE 250
FORT WAYNE, IN
46804-7926

Practice Phone: 260-436-4060
Practice Fax: 260-436-5713

1790888501 — MR. BRIAN LESLIE WALLACE PT, DPT, OCS
Practice Location Address:

2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
28310-6920

Practice Phone: 910-807-8922
Practice Fax:

1063617249 — MR. ALLEN H ISRAEL M.S.
Practice Location Address:

5201 SW 31ST AVE , #213
FORT LAUDERDALE, FL
33312-6920

Practice Phone: 954-966-4411
Practice Fax:

1275961229 — OSTELSEN
Practice Location Address:

212 WHITEMAN ST
FORT LEE, NJ
07024-6920

Practice Phone: 201-873-5575
Practice Fax:

Directions to “ MR. WILLIAM WALTER HUMCKE JR. RT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.