Andrew Cumming Payne, Dipl. OM, Lic. Ac
Acupuncturist in Providence, RI. Individual provider (NPI-1).
NPI number1962016279
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1962016279
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andrew Cumming Payne
- Credential
- Dipl. OM, Lic. Ac
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2020
- Certification date
- Sep 3, 2020
- Last updated
- Sep 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | DAOM00085 | RI | Yes |
| 171100000X | Acupuncturist | 281889 | MA |
Practice location
37 Willow StProvidence, RI 02909-1714
Phone 401-297-0097
Mailing address
37 Willow StProvidence, RI 02909-1714
Phone 413-695-8562
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