DAMIEN PAYNE NPI 1053796524

NPI Information

NPI: 1053796524
Provider Name: DAMIEN PAYNE
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
1087 WESTPORT DR APT 155
PORT WASHINGTON, WI
ZIP 53074
Phone: (414) 208-0605
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Damien Payne is a non emergency medical transport van in Port Washington, WI. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Damien Payne NPI is 1053796524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1087 WESTPORT DR APT 155
PORT WASHINGTON, WI
ZIP 53074-481
Phone: (414) 208-0605
Fax: (262) 364-2336

The enumeration date for this NPI number is 7/27/2015 and was last updated on 7/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)		100043804	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100043804	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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