Payne-Jackson, Valerie

Payne-Jackson, Valerie is an individual health care provider with primary practice located at 1812 S Rochester Rd , Rochester Hills MI 48307-3532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Payne-Jackson, Valerie can be contacted via phone (248) 656-9100.

Contact Information

Primary practice address
1812 S Rochester Rd Rochester Hills MI 48307-3532
Phone: (248) 656-9100
Fax: (248) 656-9157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X VP008011 Michigan

Profile Details

NPI number 1942294947
LBN Legal business name Payne-Jackson, Valerie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Sep 18th, 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 1942294947 NPPES
Michigan MEDICAID 4321981

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