Payne, Jonathon Blocker
Payne, Jonathon Blocker is an individual health care provider with primary practice located at 107 Industrial Dr , Louisburg NC 27549-2371. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Payne, Jonathon Blocker can be contacted via phone (919) 496-3444.Contact Information
Primary practice address
107 Industrial Dr
Louisburg NC 27549-2371
Phone: (919) 496-3444
Fax: (919) 496-6452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4724 | North Carolina |
Profile Details
| NPI number | 1245430719 |
|---|---|
| LBN Legal business name | Payne, Jonathon Blocker |
| Credentials | MS LPC NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Jul 23rd, 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 | 1245430719 | NPPES |
| North Carolina | MEDICAID | 6102735 |
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