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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922125806 NPPES
Michigan MEDICAID 3022440
Michigan Other 1740313238

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