Gaines, Charles E

Gaines, Charles E is an individual health care provider with primary practice located at 403 N State Of Franklin Rd , Johnson City TN 37604-6034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gaines, Charles E can be contacted via phone (423) 431-7013.

Contact Information

Primary practice address
403 N State Of Franklin Rd Johnson City TN 37604-6034
Phone: (423) 431-7013
Fax: (423) 431-7130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DO01281 Tennessee

Profile Details

NPI number 1649236753
LBN Legal business name Gaines, Charles E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
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 1649236753 NPPES
Tennessee MEDICAID 3306064
Tennessee Other 4109591

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