Individual provider · Type 1 NPI
Jerry M. Payne, DC
Chiropractor · Port Angeles, WA
NPI number
1114913613
Active
Practice location
1217 E 1st St
Port Angeles, WA 98362-4301
Fax (360) 452-4100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH00003603 (WA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1114913613
Jerry M. Payne, DC's National Provider Identifier is 1114913613, issued on Sep 21, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Angeles, WA. The record was last updated on Dec 28, 2007.