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
Phone: (618) 997-6800
Fax: (618) 997-1187
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962517656 | NPPES |
Illinois | MEDICAID | 036131162 |
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