Payton, Jessica Susan

Payton, Jessica Susan is an individual health care provider with primary practice located at 590 Court St , Keene NH 03431-1719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Payton, Jessica Susan can be contacted via phone (603) 354-5454.

Contact Information

Primary practice address
590 Court St Keene NH 03431-1719
Fax: (603) 354-6667
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13052 New Hampshire

Profile Details

NPI number 1134200348
LBN Legal business name Payton, Jessica Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 26th, 2011 - about 15 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 1134200348 NPPES
New Hampshire MEDICAID 30206528

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