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
Phone: (918) 649-0909
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619229424 | NPPES |
Oklahoma | MEDICAID | 100746580-F |
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