Candal, Mario A

Candal, Mario A is an sole proprietor health care provider with primary practice located at 301 S 22Nd St , Easton PA 18042-3811. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Candal, Mario A can be contacted via phone (610) 330-3333.

Contact Information

Primary practice address
301 S 22Nd St Easton PA 18042-3811
Fax: (610) 253-6732
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD035292L Pennsylvania

Profile Details

NPI number 1376564435
LBN Legal business name Candal, Mario A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1376564435 NPPES
Pennsylvania MEDICAID 0005863610002

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