Payne, Irma Jean
Payne, Irma Jean is an individual health care provider with primary practice located at 13220 Woodward Ave , Highland Park MI 48203-3610. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Payne, Irma Jean can be contacted via phone (313) 868-1946.Contact Information
Primary practice address
13220 Woodward Ave
Highland Park MI 48203-3610
Phone: (313) 868-1946
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6401009194 | Michigan |
Profile Details
NPI number | 1922125806 |
---|---|
LBN Legal business name | Payne, Irma Jean |
Credentials | LLPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2007 |
Last updated | Jul 9th, 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 | 1922125806 | NPPES |
Michigan | MEDICAID | 3022440 | |
Michigan | Other | 1740313238 |
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