Gaines, Patricia Ann
Gaines, Patricia Ann is an individual health care provider with primary practice located at 9600 Gross Point Road. , Skokie IL 60016-1752. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gaines, Patricia Ann can be contacted via phone (847) 933-6802.Contact Information
Primary practice address
9600 Gross Point Road.
Skokie IL 60016-1752
Phone: (847) 933-6802
Fax: (847) 933-6807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 164.001196 | Illinois |
Profile Details
| NPI number | 1154623742 |
|---|---|
| LBN Legal business name | Gaines, Patricia Ann |
| Credentials | RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2010 |
| Last updated | Dec 2nd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154623742 | NPPES |
| Illinois | Other | L98390 | MEDICARE PART B |
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