Payne, Mary

Payne, Mary is an individual health care provider with primary practice located at 670 Winding Woods Dr , Loveland OH 45140-9170. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Payne, Mary can be contacted via phone (513) 478-5300.

Contact Information

Primary practice address
670 Winding Woods Dr Loveland OH 45140-9170
Fax: (513) 785-0667
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP06865 Ohio

Profile Details

NPI number 1164591244
LBN Legal business name Payne, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Sep 13th, 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 1164591244 NPPES
Ohio Other 000000337693 ANTHEM
Ohio MEDICAID 2464542 ANTHEM

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