Brown, Payton Gordon
Brown, Payton Gordon is an individual health care provider with primary practice located at 769 W Blaine St Ste B , Riverside CA 92507-3970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Brown, Payton Gordon can be contacted via phone (951) 358-4705.Contact Information
Primary practice address
769 W Blaine St Ste B
Riverside CA 92507-3970
Phone: (951) 358-4705
Fax: (513) 584-7199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01043159A | Michigan |
Profile Details
| NPI number | 1669434361 |
|---|---|
| LBN Legal business name | Brown, Payton Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jun 4th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669434361 | NPPES |
| Indiana | Other | 01043159A | MD LICENSE - INDIANA |
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