Payne, Michael Clarence

Payne, Michael Clarence is an individual health care provider with primary practice located at 230 Highland Ave Somerville Hospital / The Cambridge Health Alliance, Somerville MA 02143-1408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Payne, Michael Clarence can be contacted via phone (617) 665-1000.

Contact Information

Primary practice address
230 Highland Ave Somerville Hospital / The Cambridge Health Alliance Somerville MA 02143-1408
Phone: (617) 665-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0420007895 Vermont
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 52588 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD38144 Tennessee

Profile Details

NPI number 1760481501
LBN Legal business name Payne, Michael Clarence
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 14th, 2012 - about 13 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 1760481501 NPPES
Massachusetts MEDICAID 6181678

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