Payne, James Richard

Payne, James Richard is an sole proprietor health care provider with primary practice located at 1334 Nelson Ave , Modesto CA 95350-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Payne, James Richard can be contacted via phone (209) 524-9904.

Contact Information

Primary practice address
1334 Nelson Ave Modesto CA 95350-5341
Phone: (209) 524-9904
Fax: (209) 524-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G45465 California

Profile Details

NPI number 1467477133
LBN Legal business name Payne, James Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jul 22nd, 2009 - about 17 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 1467477133 NPPES
California MEDICAID 1467477133

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