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Contact Information

CAROL GAINES, MD
2448 S 102ND ST
SUITE 270
WEST ALLIS, WI53227-2466
 Phone: 414-543-9600
 Fax: 414-543-9601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CAROL GAINES · (Female)

NPI Number 1982849543
Status Active
Credentials MD
Entity Individual
Enumeration date 12/11/2008
Last updated 12/11/2008 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.119429
  • WI License # 25320-020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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