Payne, Michael Davis

Payne, Michael Davis is an individual health care provider with primary practice located at 2630 E Citizens Dr Ste 3 , Fayetteville AR 72703-4797. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Payne, Michael Davis can be contacted via phone (479) 527-9966.

Contact Information

Primary practice address
2630 E Citizens Dr Ste 3 Fayetteville AR 72703-4797
Phone: (479) 527-9966
Fax: (479) 527-9677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3409 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-3409 Arkansas

Profile Details

NPI number 1255398897
LBN Legal business name Payne, Michael Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Dec 9th, 2019 - about 5 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 1255398897 NPPES
Arkansas MEDICAID 149271001

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