Payne, John C
Payne, John C is an individual health care provider with primary practice located at 555 E Broadway Ave Ste 211 , Jackson WY 83001-8640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Payne, John C can be contacted via phone (307) 739-7618.Contact Information
Primary practice address
555 E Broadway Ave Ste 211
Jackson WY 83001-8640
Phone: (307) 739-7618
Fax: (307) 734-0077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 6651A | Wyoming |
Profile Details
| NPI number | 1316071145 |
|---|---|
| LBN Legal business name | Payne, John C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jan 18th, 2021 - about 5 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 | 1316071145 | NPPES |
| Wyoming | MEDICAID | 117561100 |
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