Licause, Gina

Licause, Gina is an individual health care provider with primary practice located at 101 E Wt Harris Blvd Ste 5002, Charlotte NC 28262-3485. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Licause, Gina can be contacted via phone (704) 801-7310.

Contact Information

Primary practice address
101 E Wt Harris Blvd Ste 5002 Charlotte NC 28262-3485
Phone: (704) 801-7310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35695 North Carolina

Profile Details

NPI number 1699762039
LBN Legal business name Licause, Gina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Sep 27th, 2021 - about 5 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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