Gaines, Tangela M

Gaines, Tangela M is an individual health care provider with primary practice located at 2001 Medical Parkway Acute Care Pavilion, Annapolis MD 21401-3280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gaines, Tangela M can be contacted via phone (443) 481-6482.

Contact Information

Primary practice address
2001 Medical Parkway Acute Care Pavilion Annapolis MD 21401-3280
Fax: (443) 481-6515
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C03729 Maryland

Profile Details

NPI number 1598884207
LBN Legal business name Gaines, Tangela M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Dec 24th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598884207 NPPES
Other 607156014 FEDERAL BLACK LUNG
Other 607156012 FEDERAL BLACK LUNG
Other 607156012 FEDERAL BLACK LUNG

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