James, Candice

James, Candice is an sole proprietor health care provider with primary practice located at 205 Dewey Ave Suite # 2, Poteau OK 74953-4224. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. James, Candice can be contacted via phone (918) 649-0909.

Contact Information

Primary practice address
205 Dewey Ave Suite # 2 Poteau OK 74953-4224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X Oklahoma

Profile Details

NPI number 1619229424
LBN Legal business name James, Candice
Credentials BS, BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2012
Last updated Oct 4th, 2012 - about 13 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 1619229424 NPPES
Oklahoma MEDICAID 100746580-F

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