Payne, Martin A

Payne, Martin A is an individual health care provider with primary practice located at 4092 Foxwood Dr Suite 101, Virginia Beach VA 23462-5225. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Payne, Martin A can be contacted via phone (757) 686-3508.

Contact Information

Primary practice address
4092 Foxwood Dr Suite 101 Virginia Beach VA 23462-5225
Fax: (757) 686-0541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101057160 Virginia
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207PH0002X 0101057160 Virginia

Profile Details

NPI number 1053343160
LBN Legal business name Payne, Martin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 6th, 2013 - about 12 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 1053343160 NPPES
Virginia MEDICAID 5838975

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