Gaines, Jade Ericka
Gaines, Jade Ericka is an individual health care provider with primary practice located at 3553 Whipple Rd , Union City CA 94587-1507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Gaines, Jade Ericka can be contacted via phone (510) 454-1000.Contact Information
Primary practice address
3553 Whipple Rd
Union City CA 94587-1507
Phone: (510) 454-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | A60100 | California |
Profile Details
| NPI number | 1992883748 |
|---|---|
| LBN Legal business name | Gaines, Jade Ericka |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Dec 13th, 2021 - about 3 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 | 1992883748 | NPPES |
| California | MEDICAID | 00A601000 |
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