Gaines, Carolyn Denise

Gaines, Carolyn Denise is an sole proprietor health care provider with primary practice located at 1600 Mars Hill Dr Apt B , West Carrollton OH 45449-3128. She recently has only one registered license in Other Service Providers / Home Modifications, which is considered as her primary health care specialty. Gaines, Carolyn Denise can be contacted via phone (937) 287-4482.

Contact Information

Primary practice address
1600 Mars Hill Dr Apt B West Carrollton OH 45449-3128
Phone: (937) 287-4482
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 376954841197 Ohio

Profile Details

NPI number 1184979049
LBN Legal business name Gaines, Carolyn Denise
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2012
Last updated Jul 17th, 2012 - about 12 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 1184979049 NPPES
Ohio Other 376954841197 STATE OF OHIO NURSE AIDE REGISTRY

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