Hairston, Candice

Hairston, Candice is an sole proprietor health care provider with primary practice located at 5408 Orey Ave , Cleveland OH 44105-3339. She recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as her primary health care specialty. Hairston, Candice can be contacted via phone (216) 240-4690.

Contact Information

Primary practice address
5408 Orey Ave Cleveland OH 44105-3339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1639891252
LBN Legal business name Hairston, Candice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2022
Last updated Sep 12th, 2022 - about 2 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 1639891252 NPPES
Ohio Other 86-3010133 STATE OF OHIO

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