Candon, Amy D
Candon, Amy D is an sole proprietor health care provider with primary practice located at 1 Kennedy Dr Unit 3 , South Burlington VT 05403-7152. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Candon, Amy D can be contacted via phone (802) 863-3323.Contact Information
Primary practice address
1 Kennedy Dr Unit 3
South Burlington VT 05403-7152
Phone: (802) 863-3323
Fax: (802) 863-3288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 040.0003503 | Vermont |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2982 | Maine |
Profile Details
| NPI number | 1013985795 |
|---|---|
| LBN Legal business name | Candon, Amy D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | May 16th, 2019 - about 5 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 | 1013985795 | NPPES |
| Maine | MEDICAID | 431552002 |
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