Maynor, Jayne Patrice
Maynor, Jayne Patrice is an individual health care provider with primary practice located at 2905 N Elm St , Lumberton NC 28358-2982. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Maynor, Jayne Patrice can be contacted via phone (910) 738-8154.Contact Information
Primary practice address
2905 N Elm St
Lumberton NC 28358-2982
Phone: (910) 738-8154
Fax: (910) 671-8818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 40036 | North Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 40036 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 40036 | North Carolina |
Profile Details
| NPI number | 1881693992 |
|---|---|
| LBN Legal business name | Maynor, Jayne Patrice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Feb 4th, 2010 - 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 | 1881693992 | NPPES |
| South Carolina | MEDICAID | N40036 | |
| South Carolina | Other | 5523B | |
| South Carolina | MEDICAID | 895523B |
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