Payne, Garret E
Payne, Garret E is an sole proprietor health care provider with primary practice located at 23300 Providence Dr Suite 109, Southfield MI 48075-3652. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Payne, Garret E can be contacted via phone (248) 559-7590.Contact Information
Primary practice address
23300 Providence Dr Suite 109
Southfield MI 48075-3652
Phone: (248) 559-7590
Fax: (248) 559-6070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301002713 | Michigan |
Profile Details
NPI number | 1558422857 |
---|---|
LBN Legal business name | Payne, Garret E |
Credentials | PH.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 12th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1558422857 | NPPES |
Michigan | Other | 0F34686 | BLUE CROSS BLUE SHIELD |
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