Payne, Carrie L
Payne, Carrie L is an individual health care provider with primary practice located at 700 West Ave S , La Crosse WI 54601-4783. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Payne, Carrie L can be contacted via phone (608) 785-0940.Contact Information
Primary practice address
700 West Ave S
La Crosse WI 54601-4783
Phone: (608) 785-0940
Fax: (608) 392-9898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1390 | Wisconsin |
Profile Details
| NPI number | 1427251347 |
|---|---|
| LBN Legal business name | Payne, Carrie L |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Nov 5th, 2007 - about 18 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 | 1427251347 | NPPES |
| Wisconsin | MEDICAID | 36138600 |
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