Brady, Candice Lillian

Brady, Candice Lillian is an sole proprietor health care provider with primary practice located at 400 Camarillo Ranch Rd Ste 101 , Camarillo CA 93012-5901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as her primary health care specialty. Brady, Candice Lillian can be contacted via phone (805) 273-5478.

Contact Information

Primary practice address
400 Camarillo Ranch Rd Ste 101 Camarillo CA 93012-5901
Fax: (805) 852-2688
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X DO2364 Nevada
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 20A14792 California

Profile Details

NPI number 1124368667
LBN Legal business name Brady, Candice Lillian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2013
Last updated Feb 11th, 2020 - about 4 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 1124368667 NPPES
Nevada Other DO2364 NV LICENSE

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