Gainer, Jan

Gainer, Jan is an individual health care provider with primary practice located at 9301 Washington Ave , Racine WI 53406-3752. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gainer, Jan can be contacted via phone (262) 687-8611.

Contact Information

Primary practice address
9301 Washington Ave Racine WI 53406-3752
Phone: (262) 687-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11265 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 546 Wisconsin

Profile Details

NPI number 1598880163
LBN Legal business name Gainer, Jan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 19 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 1598880163 NPPES
Wisconsin MEDICAID 11013500

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