Gaines, Marc
Gaines, Marc is an individual health care provider with primary practice located at 1860 Colonial Medical Ct , Virginia Beach VA 23454-3035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gaines, Marc can be contacted via phone (757) 481-1113.Contact Information
Primary practice address
1860 Colonial Medical Ct
Virginia Beach VA 23454-3035
Phone: (757) 481-1113
Fax: (757) 496-3822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101027364 | Virginia |
Profile Details
| NPI number | 1306819222 |
|---|---|
| LBN Legal business name | Gaines, Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Dec 2nd, 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 | 1306819222 | NPPES |
| Virginia | Other | 437513 | ANTHEM |
| Virginia | Other | 541595397 | ANTHEM |
| Virginia | Other | 541595397 | ANTHEM |
| Virginia | MEDICAID | 005801338 | ANTHEM |
| Virginia | Other | 541595397 | ANTHEM |
| Virginia | Other | 541595397 | ANTHEM |
| Virginia | Other | 27260 | ANTHEM |
| Virginia | Other | 541595397 | ANTHEM |
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