Payson, Amy A

Payson, Amy A is an individual health care provider with primary practice located at 2335 Black Rock Tpke , Fairfield CT 06825-3220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Payson, Amy A can be contacted via phone (203) 373-1234.

Contact Information

Primary practice address
2335 Black Rock Tpke Fairfield CT 06825-3220
Phone: (203) 373-1234
Fax: (203) 375-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 000869 Connecticut

Profile Details

NPI number 1205982030
LBN Legal business name Payson, Amy A
Credentials EDD CS APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Dec 1st, 2013 - about 11 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 1205982030 NPPES
Connecticut MEDICAID 004191101
Connecticut Other 173546
Connecticut Other 400000869CT01
Connecticut Other 122025

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