Payne, William D
Payne, William D is an individual health care provider with primary practice located at 516 Delaware Street Se Pwb Second Floor, Clinic 2A, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Payne, William D can be contacted via phone (612) 626-6100.Contact Information
Primary practice address
516 Delaware Street Se Pwb Second Floor, Clinic 2A
Minneapolis MN 55455
Phone: (612) 626-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22417 | Minnesota |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 22417 | Minnesota |
Profile Details
| NPI number | 1689779993 |
|---|---|
| LBN Legal business name | Payne, William D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Oct 26th, 2012 - about 13 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 | 1689779993 | NPPES |
| Minnesota | Other | 37-12454 | MEDICA CHOICE |
| Minnesota | Other | 604794 | MEDICA CHOICE |
| Minnesota | Other | 082982 | MEDICA CHOICE |
| Minnesota | Other | 1009266 | MEDICA CHOICE |
| Minnesota | Other | HP22196 | MEDICA CHOICE |
| Minnesota | MEDICAID | 084587600 | MEDICA CHOICE |
| Minnesota | Other | 17-00026 | MEDICA CHOICE |
| Minnesota | Other | 2T102PA | MEDICA CHOICE |
| Minnesota | Other | 101592 | MEDICA CHOICE |
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