Fugate, Candace
Fugate, Candace is an individual health care provider with primary practice located at 3914 Centreville Rd Ste 101 , Chantilly VA 20151-3289. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fugate, Candace can be contacted via phone (703) 481-8600.Contact Information
Primary practice address
3914 Centreville Rd Ste 101
Chantilly VA 20151-3289
Phone: (703) 481-8600
Fax: (703) 481-8618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101057927 | Virginia |
Profile Details
| NPI number | 1689632028 |
|---|---|
| LBN Legal business name | Fugate, Candace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689632028 | NPPES |
| Virginia | MEDICAID | 6714463 | |
| Virginia | MEDICAID | 6733999 |
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