Crow, Candice

Crow, Candice is an individual health care provider with primary practice located at 1541 Kings Hwy , Shreveport LA 71103-4228. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Crow, Candice can be contacted via phone (318) 330-7000.

Contact Information

Primary practice address
1541 Kings Hwy Shreveport LA 71103-4228
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 207014 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 207014 Louisiana

Profile Details

NPI number 1376142893
LBN Legal business name Crow, Candice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2020
Last updated Nov 11th, 2020 - 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.

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