Payne, Mary J.

Payne, Mary J. is an individual health care provider with primary practice located at 1890 Park Marina Dr Suite 105, Redding CA 96001-0961. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Payne, Mary J. can be contacted via phone (530) 241-2200.

Contact Information

Primary practice address
1890 Park Marina Dr Suite 105 Redding CA 96001-0961
Phone: (530) 241-2200
Fax: (530) 241-3200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA2976 California

Profile Details

NPI number 1053503615
LBN Legal business name Payne, Mary J.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Aug 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053503615 NPPES
California MEDICAID HA0029760

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