Payne, Tyan Elizabeth
Payne, Tyan Elizabeth is an individual health care provider with primary practice located at 546 N Main St , Wasilla AK 99654-7019. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Payne, Tyan Elizabeth can be contacted via phone (907) 376-2600.Contact Information
Primary practice address
546 N Main St
Wasilla AK 99654-7019
Phone: (907) 376-2600
Fax: (907) 376-2605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 295 | Alaska |
Profile Details
| NPI number | 1992875777 |
|---|---|
| LBN Legal business name | Payne, Tyan Elizabeth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 28th, 2010 - about 16 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 | 1992875777 | NPPES |
| Alaska | MEDICAID | CH0295 |
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