Provider Demographics
NPI:1396813978
Name:HUFFMAN AND HUFFMAN PSC
Entity Type:Organization
Organization Name:HUFFMAN AND HUFFMAN PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-877-1877
Mailing Address - Street 1:303 LANGDON STREET
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503
Mailing Address - Country:US
Mailing Address - Phone:606-679-7461
Mailing Address - Fax:606-679-8202
Practice Address - Street 1:303 LANGDON STREET
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503
Practice Address - Country:US
Practice Address - Phone:606-679-7461
Practice Address - Fax:606-679-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY77000800Medicaid
KY77902260Medicaid
KY65928822Medicaid
KY77903656Medicaid
KY65928822Medicaid
KY0451310001Medicare NSC
KYCN6397Medicare PIN
KY8454Medicare PIN
KY180030040Medicare PIN