Individual
JONATHAN EDWARD PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3732 EASTERN AVE. 2ND FLOOR, BALTIMORE, MD 21224
(410) 276-1411
(925) 943-2221
Mailing address
3732 EASTERN AVE. 2ND FLOOR, BALTIMORE, MD 21224
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03623
MD
111N00000X
Chiropractor
DC31259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC31259
CHIROPRACTIC LICENSE
CA
Enumeration date
07/24/2009
Last updated
02/26/2013
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