Jerry M Payne D.C., Inc
LBN: Jerry M Payne D.C., Inc
Jerry M Payne D.C., Inc is an health care organization with primary practice located at 1217 E 1St St , Port Angeles WA 98362-4301. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Jerry M Payne D.C., Inc can be contacted via phone (360) 452-3017, or through Payne, Jerry M via phone (360) 452-3017.
Contact Information
Primary practice address
1217 E 1St St
Port Angeles WA 98362-4301
Phone: (360) 452-3017
Fax: (360) 452-4100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00003603 | Washington |
Profile Details
| NPI number | 1396929006 |
|---|---|
| LBN Legal business name | Jerry M Payne D.C., Inc |
| DBA Doing business as | |
| Authorized official | Payne, Jerry M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Oct 17th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396929006 | NPPES |
| Washington | Other | G8851005 | MEDICARE GROUP PIN |
| Washington | Other | PA4216 | MEDICARE GROUP PIN |
| Washington | MEDICAID | 2022861 | MEDICARE GROUP PIN |
| Washington | Other | 0124952 | MEDICARE GROUP PIN |
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