Jones, Candice Watters
Jones, Candice Watters is an sole proprietor health care provider with primary practice located at 1190 N Stone St , Deland FL 32720-2511. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jones, Candice Watters can be contacted via phone (386) 738-1792.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P 21397 | Maryland |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME109716 | Florida |
Profile Details
| NPI number | 1417002809 |
|---|---|
| LBN Legal business name | Jones, Candice Watters |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Dec 27th, 2012 - about 12 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 | 1417002809 | NPPES |
| Florida | MEDICAID | 004180200 | |
| Florida | Other | P 21397 |
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