Payton, Bernadine
Payton, Bernadine is an sole proprietor health care provider with primary practice located at 315 Airport North Office Park Raj Clinics, Fort Wayne IN 46825. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Payton, Bernadine can be contacted via phone (260) 490-8352.Contact Information
Primary practice address
315 Airport North Office Park Raj Clinics
Fort Wayne IN 46825
Phone: (260) 490-8352
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1932443702 |
|---|---|
| LBN Legal business name | Payton, Bernadine |
| Credentials | MS.ED, BSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2012 |
| Last updated | Nov 19th, 2012 - about 14 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 | 1932443702 | NPPES |
| Indiana | MEDICAID | 13438 |
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