Mcdougall, Candace G
Mcdougall, Candace G is an individual health care provider with primary practice located at 300 Stafford Street Suites 154, 161, Springfield MA 01104-2431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcdougall, Candace G can be contacted via phone (413) 732-1928.Contact Information
Primary practice address
300 Stafford Street Suites 154, 161
Springfield MA 01104-2431
Phone: (413) 732-1928
Fax: (413) 734-1716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 146608 | Massachusetts |
Profile Details
| NPI number | 1215913439 |
|---|---|
| LBN Legal business name | Mcdougall, Candace G |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | May 16th, 2016 - about 9 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 | 1215913439 | NPPES |
| Massachusetts | MEDICAID | 0345661 | |
| Massachusetts | MEDICAID | 110015447A |
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