Payton, Damon

Payton, Damon is an sole proprietor health care provider with primary practice located at 2175 Orleans Ln , Florissant MO 63031-2111. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Payton, Damon can be contacted via phone (646) 623-0120.

Contact Information

Primary practice address
2175 Orleans Ln Florissant MO 63031-2111
Phone: (646) 623-0120
Fax: (314) 480-7162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 16005263 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 6057 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2006013232 Missouri

Profile Details

NPI number 1649200502
LBN Legal business name Payton, Damon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Feb 5th, 2020 - 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 1649200502 NPPES
Illinois MEDICAID 016005293
Illinois Other 0732240001
Illinois MEDICAID 1649200502

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