Caine, Cynthia R

Caine, Cynthia R is an individual health care provider with primary practice located at 11200 W Lincoln Hwy , Mokena IL 60448-8208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Caine, Cynthia R can be contacted via phone (708) 873-0062.

Contact Information

Primary practice address
11200 W Lincoln Hwy Mokena IL 60448-8208
Fax: (708) 873-1820
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000102A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209006990 Illinois

Profile Details

NPI number 1215936315
LBN Legal business name Caine, Cynthia R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 20th, 2011 - about 15 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 1215936315 NPPES
Indiana MEDICAID 200062090
Indiana Other P00058964

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