1114053253 NPI number — JOHN L. PAYNE, INC.

Table of content: (NPI 1114053253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114053253 NPI number — JOHN L. PAYNE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN L. PAYNE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ALLEGHENY HEARING INSTRUMENTS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114053253
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4099 WILLIAM PENN HWY
Provider Second Line Business Mailing Address:
800 JONNET BLDG.
Provider Business Mailing Address City Name:
MONROEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15146-2521
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-373-1151
Provider Business Mailing Address Fax Number:
412-373-1551

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4099 WILLIAM PENN HWY
Provider Second Line Business Practice Location Address:
800 JONNET BLDG.
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146-2521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-373-1151
Provider Business Practice Location Address Fax Number:
412-373-1551
Provider Enumeration Date:
02/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PAYNE
Authorized Official First Name:
DOLORES
Authorized Official Middle Name:
Y.
Authorized Official Title or Position:
AUDIOLOGIST OWNER
Authorized Official Telephone Number:
412-373-1151

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  D00371 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: X2410 . This is a "NECP MONROEVILLE SITE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: X2702 . This is a "ADVANTRA SOUTH HILLS SITE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0078982 . This is a "AETNA US HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 323721 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 659 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: AL-262786 . This is a "HIGHMARK BC BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: X2410 . This is a "ADVANTRA MONROEVILLE SITE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: X2702 . This is a "NECP SOUTH HILLS SITE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 659 . This is a "HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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