Jerry, Candace
Jerry, Candace is an individual health care provider with primary practice located at 301 Petersburg Rd , Crossett AR 71635-3908. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jerry, Candace can be contacted via phone (870) 304-2200.Contact Information
Primary practice address
301 Petersburg Rd
Crossett AR 71635-3908
Phone: (870) 304-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7322 | Arkansas |
Profile Details
| NPI number | 1538449640 |
|---|---|
| LBN Legal business name | Jerry, Candace |
| Credentials | LMT, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2011 |
| Last updated | Aug 19th, 2011 - about 14 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 | 1538449640 | NPPES |
| Arkansas | Other | 12266362 | CAQH |
Popular Providers
-
Qadir, Abdul
1004 S New Rd , Pleasantville NJ 08232-3730 -
Morris, Terry V.
206 Nw Mock Ave Suite 200, Blue Springs MO 64014-2507 -
Backer, Thomas S
3905 Brookside Pkwy Ste 202 , Alpharetta GA 30022-4425 -
Rana, Jasbir Kaur
2600 Park Ave Ste 208, Concord CA 94520-1923 -
Pearce, Hannah Phillips
3350 Berkmar Drive , Charlottesville VA 22901 -
Stout, Lisa
1060 E 100 S Ste 110, Salt Lake City UT 84102-1591 -
Mercurio, Paul
11 N Little Tor Rd , New City NY 10956-3419 -
Le, Thuy D.
210 S Palisade Dr Ste 102, Santa Maria CA 93454-8901