Ballew, Candice Meryl

Ballew, Candice Meryl is an sole proprietor health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ballew, Candice Meryl can be contacted via phone (818) 892-3384.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343-5117
Fax: (818) 895-5186
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1891083903
LBN Legal business name Ballew, Candice Meryl
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2011
Last updated May 30th, 2013 - about 11 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 1891083903 NPPES
California Other 95-2633765 MEDI-CAL

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