Deloatch, Candyce

Deloatch, Candyce is an sole proprietor health care provider with primary practice located at 43520 Division St , Lancaster CA 93535-4089. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Deloatch, Candyce can be contacted via phone (661) 266-4783.

Contact Information

Primary practice address
43520 Division St Lancaster CA 93535-4089
Phone: (661) 266-4783
Fax: (661) 266-1210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X T1894 Maryland
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A125972 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A125972 California

Profile Details

NPI number 1174660385
LBN Legal business name Deloatch, Candyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Aug 13th, 2014 - about 11 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 1174660385 NPPES
California Other 95-2633765 MEDI-CAL

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