Gaines, Carol

Gaines, Carol is an sole proprietor health care provider with primary practice located at 2448 S 102Nd St Suite 270, West Allis WI 53227-2466. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Gaines, Carol can be contacted via phone (414) 543-9600.

Contact Information

Primary practice address
2448 S 102Nd St Suite 270 West Allis WI 53227-2466
Phone: (414) 543-9600
Fax: (414) 543-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 25320-020 Wisconsin
Other Service Providers / Community Health Worker 172V00000X 036.119429 Illinois

Profile Details

NPI number 1982849543
LBN Legal business name Gaines, Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - about 17 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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