Payne, Jilissa M
Payne, Jilissa M is an individual health care provider with primary practice located at 6294 State Highway 154 , Sesser IL 62884-2163. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Payne, Jilissa M can be contacted via phone (618) 625-6979.Contact Information
Primary practice address
6294 State Highway 154
Sesser IL 62884-2163
Phone: (618) 625-6979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 020015649 | Illinois |
Profile Details
| NPI number | 1932686987 |
|---|---|
| LBN Legal business name | Payne, Jilissa M |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2018 |
| Last updated | Jul 23rd, 2018 - about 8 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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