Payne, Mark Christopher
Payne, Mark Christopher is an individual health care provider with primary practice located at 3757 S Baldwin Rd , Orion MI 48359-1507. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Payne, Mark Christopher can be contacted via phone (248) 393-1275.Contact Information
Primary practice address
3757 S Baldwin Rd
Orion MI 48359-1507
Phone: (248) 393-1275
Fax: (248) 393-1277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003125 | Michigan |
Profile Details
| NPI number | 1114071305 |
|---|---|
| LBN Legal business name | Payne, Mark Christopher |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Dec 15th, 2014 - about 12 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 | 1114071305 | NPPES |
| Michigan | MEDICAID | 3228703 |
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