Payne, Gavin Todd

Payne, Gavin Todd is an individual health care provider with primary practice located at 705 N Webb Rd , Grand Island NE 68803-3311. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Payne, Gavin Todd can be contacted via phone (308) 384-4955.

Contact Information

Primary practice address
705 N Webb Rd Grand Island NE 68803-3311
Fax: (308) 384-7088
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4739 Minnesota

Profile Details

NPI number 1841371275
LBN Legal business name Payne, Gavin Todd
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Oct 6th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841371275 NPPES
Minnesota Other 246P3PA BCBS
Minnesota MEDICAID 929453800 BCBS
Minnesota Other 48654 BCBS

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