Black, Candice
Black, Candice is an individual health care provider with primary practice located at 1 Medical Center Dr Pathology Dept, Dhmc, Lebanon NH 03756-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Black, Candice can be contacted via phone (603) 650-7211.Contact Information
Primary practice address
1 Medical Center Dr Pathology Dept, Dhmc
Lebanon NH 03756-1000
Phone: (603) 650-7211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 11684 | New Hampshire |
Profile Details
| NPI number | 1528093887 |
|---|---|
| LBN Legal business name | Black, Candice |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 16th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528093887 | NPPES |
| New Hampshire | MEDICAID | 30222118 | |
| New Hampshire | MEDICAID | 1009038 |
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