Daines, Brian K.

Daines, Brian K. is an sole proprietor health care provider with primary practice located at 510 Lincoln Drive , Herrin IL 62948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Daines, Brian K. can be contacted via phone (618) 997-6800.

Contact Information

Primary practice address
510 Lincoln Drive Herrin IL 62948
Fax: (618) 997-1187
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ML20008529 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036.131162 Illinois

Profile Details

NPI number 1962517656
LBN Legal business name Daines, Brian K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Feb 27th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962517656 NPPES
Illinois MEDICAID 036131162

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