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Damien Payne
Non-emergency Medical Transport (VAN) in Port Washington, Wisconsin
NPI 1053796524

Damien Payne is a Non-emergency Medical Transport (VAN) based in Port Washington, WI. Damien Payne practices in Port Washington, WI. The NPI Number for Damien Payne is 1053796524 and holds a License No. 100043804 (Wisconsin).

The current practice location address for Damien Payne is 1087 Westport Dr Apt 155, Port Washington, WI and can be reached out via phone at 414-208-0605 and via fax at 262-364-2336.

Location: 1087 Westport Dr Apt 155, Port Washington, WI, 53074-2481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053796524
Provider Name
Damien Payne
Credential
Provider Entity Type
Individual
Gender
Male
Address
1087 Westport Dr Apt 155, Port Washington, WI, 53074-2481
Phone Number
414-208-0605
Fax Number
262-364-2336
Provider Enumeration Date
07/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100043804 05 WI
institution
Provider Business Practice Location Address Details
Address
1087 Westport Dr Apt 155
City
Port Washington
State
Wisconsin
Zip
53074-2481
Phone Number
414-208-0605
Fax Number
262-364-2336
person
Provider Business Mailing Address Details
Address
1087 Westport Dr Apt 155
City
Port Washington
State
Wisconsin
Zip
53074-2481
Phone Number
414-208-0605
Fax Number
262-364-2336
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
100043804 (Wisconsin)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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