Candelora, Joseph N

Candelora, Joseph N is an individual health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Candelora, Joseph N can be contacted via phone (601) 200-6757.

Contact Information

Primary practice address
969 Lakeland Dr Jackson MS 39216-4606
Phone: (601) 200-6757
Fax: (601) 200-8801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 08190 Mississippi

Profile Details

NPI number 1306843131
LBN Legal business name Candelora, Joseph N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 23rd, 2008 - about 16 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 1306843131 NPPES
Mississippi MEDICAID 00121875
Mississippi Other 2444281
Mississippi Other 4004816
Mississippi Other 7128306

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