Gaines, Andrea

Gaines, Andrea is an individual health care provider with primary practice located at 7459 Burlington Pike , Florence KY 41042-1553. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Gaines, Andrea can be contacted via phone (859) 282-6585.

Contact Information

Primary practice address
7459 Burlington Pike Florence KY 41042-1553
Phone: (859) 282-6585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1336175124
LBN Legal business name Gaines, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1336175124 NPPES
Kentucky Other 184607 MEDICARE GROUP NUMBER

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