Payne, Edith A
Payne, Edith A is an individual health care provider with primary practice located at 250 Ne Mulberry St Ste 202 Sjs Medical Management, Lees Summit MO 64086-4533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Payne, Edith A can be contacted via phone (816) 389-4130.Contact Information
Primary practice address
250 Ne Mulberry St Ste 202 Sjs Medical Management
Lees Summit MO 64086-4533
Phone: (816) 389-4130
Fax: (816) 389-4140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 056282 | Missouri |
Profile Details
| NPI number | 1700986239 |
|---|---|
| LBN Legal business name | Payne, Edith A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Apr 23rd, 2008 - about 16 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 | 1700986239 | NPPES |
| Missouri | MEDICAID | 912919768 |
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