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
Phone: (308) 384-4955
Fax: (308) 384-7088
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841371275 | NPPES |
| Minnesota | Other | 246P3PA | BCBS |
| Minnesota | MEDICAID | 929453800 | BCBS |
| Minnesota | Other | 48654 | BCBS |
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