Payne, Wayne Frank
Payne, Wayne Frank is an individual health care provider with primary practice located at 1619 N Greenwood St Suite 102, Pueblo CO 81003-2644. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Payne, Wayne Frank can be contacted via phone (719) 542-4546.Contact Information
Primary practice address
1619 N Greenwood St Suite 102
Pueblo CO 81003-2644
Phone: (719) 542-4546
Fax: (719) 542-4548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0577 | Colorado |
Profile Details
| NPI number | 1659311678 |
|---|---|
| LBN Legal business name | Payne, Wayne Frank |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 9th, 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 | 1659311678 | NPPES |
| Colorado | MEDICAID | 02005775 |
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