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Contact Information

CLETUS PAYNE, CNP
4405 N. HOLLAND SYLVANIA RD.
TOLEDO, OH43623
 Phone: 419-517-0146
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CLETUS PAYNE · (Male)

NPI Number 1487101879
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 09/02/2016
Last updated 09/02/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.019586
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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