Payne, Tamika R

Payne, Tamika R is an sole proprietor health care provider with primary practice located at 2925 Russell St , Detroit MI 48207-4825. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Payne, Tamika R can be contacted via phone (313) 396-5300.

Contact Information

Primary practice address
2925 Russell St Detroit MI 48207-4825
Phone: (313) 396-5300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1316288020
LBN Legal business name Payne, Tamika R
Credentials BS, SST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2013
Last updated Mar 5th, 2013 - 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 1316288020 NPPES
Michigan MEDICAID 382363235

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