Green, Candace C

Green, Candace C is an individual health care provider with primary practice located at 2630 N Columbia Center Blvd Suite B, Richland WA 99352-4853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Green, Candace C can be contacted via phone (509) 420-5053.

Contact Information

Primary practice address
2630 N Columbia Center Blvd Suite B Richland WA 99352-4853
Phone: (509) 420-5053
Fax: (509) 492-5537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 4301073070 Michigan

Profile Details

NPI number 1154313674
LBN Legal business name Green, Candace C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 1st, 2016 - about 8 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 1154313674 NPPES
Michigan Other 0700410 PHP
Michigan Other 1605910202 PHP
Michigan MEDICAID 4706065 PHP
Michigan MEDICAID 4709343 PHP
Michigan MEDICAID 4706056 PHP

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