Payne, Brandon Charles

Payne, Brandon Charles is an individual health care provider with primary practice located at 921 S 8Th Ave Stop 8173 , Pocatello ID 83209-0002. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Payne, Brandon Charles can be contacted via phone (989) 621-2374.

Contact Information

Primary practice address
921 S 8Th Ave Stop 8173 Pocatello ID 83209-0002
Phone: (989) 621-2374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1356864524
LBN Legal business name Payne, Brandon Charles
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Jul 21st, 2022 - about 2 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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