Payton, Gladstone Anthony
Payton, Gladstone Anthony is an sole proprietor health care provider with primary practice located at 247 N Gratiot Ave , Mount Clemens MI 48043-5746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Payton, Gladstone Anthony can be contacted via phone (586) 468-8088.Contact Information
Primary practice address
247 N Gratiot Ave
Mount Clemens MI 48043-5746
Phone: (586) 468-8088
Fax: (586) 468-8283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101005762 | Michigan |
Profile Details
| NPI number | 1184617854 |
|---|---|
| LBN Legal business name | Payton, Gladstone Anthony |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jun 28th, 2010 - about 16 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 | 1184617854 | NPPES |
| Michigan | MEDICAID | 1003624 | |
| Michigan | Other | 0855018335 |
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