Charles, Candace Donyusha
Charles, Candace Donyusha is an individual health care provider with primary practice located at 4965 Stone Falls Ctr Ste 7 , O Fallon IL 62269-7803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Charles, Candace Donyusha can be contacted via phone (618) 726-2500.Contact Information
Primary practice address
4965 Stone Falls Ctr Ste 7
O Fallon IL 62269-7803
Phone: (618) 726-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085004583 | Illinois |
Profile Details
| NPI number | 1922284504 |
|---|---|
| LBN Legal business name | Charles, Candace Donyusha |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Aug 2nd, 2018 - about 6 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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