Gaines, Shalisa

Gaines, Shalisa is an sole proprietor health care provider with primary practice located at 608 Highway 80 E # C , Clinton MS 39056-5104. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gaines, Shalisa can be contacted via phone (769) 218-0292.

Contact Information

Primary practice address
608 Highway 80 E # C Clinton MS 39056-5104
Phone: (769) 218-0292
Fax: (601) 473-2429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1033659958
LBN Legal business name Gaines, Shalisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2017
Last updated Feb 24th, 2017 - about 7 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.

Request for update

Popular Providers