Payne, Jennifer M

Payne, Jennifer M is an individual health care provider with primary practice located at 51 Peters Rd Suite 200, Lititz PA 17543-7685. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Payne, Jennifer M can be contacted via phone (717) 626-2167.

Contact Information

Primary practice address
51 Peters Rd Suite 200 Lititz PA 17543-7685
Phone: (717) 626-2167
Fax: (717) 626-1915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD450936 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD450936 Pennsylvania

Profile Details

NPI number 1447544242
LBN Legal business name Payne, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2011
Last updated May 13th, 2020 - about 4 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 1447544242 NPPES
Pennsylvania MEDICAID 102922223

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