Gaines, Marc Allen
Gaines, Marc Allen is an sole proprietor health care provider with primary practice located at 1165 County Line Rd , Highland Park IL 60035-4501. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gaines, Marc Allen can be contacted via phone (847) 433-5514.Contact Information
Primary practice address
1165 County Line Rd
Highland Park IL 60035-4501
Phone: (847) 433-5514
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 51-29001 | Illinois |
Profile Details
NPI number | 1649550229 |
---|---|
LBN Legal business name | Gaines, Marc Allen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 26th, 2011 |
Last updated | Aug 26th, 2011 - about 14 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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