Payne, Joan
Payne, Joan is an individual health care provider with primary practice located at 301 Prospect Ave Micu, Syracuse NY 13203-1807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Payne, Joan can be contacted via phone (315) 448-5111.Contact Information
Primary practice address
301 Prospect Ave Micu
Syracuse NY 13203-1807
Phone: (315) 448-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 301617 | New York |
Profile Details
| NPI number | 1750424479 |
|---|---|
| LBN Legal business name | Payne, Joan |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Sep 23rd, 2009 - about 15 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 | 1750424479 | NPPES |
| New York | MEDICAID | 03135100 |
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