Mckinnon, Candice Christina
Mckinnon, Candice Christina is an sole proprietor health care provider with primary practice located at 17250 Palos Verdes Dr , Eagle River AK 99577-8133. She recently has only one registered license in Respite Care Facility / Respite Care, which is considered as her primary health care specialty. Mckinnon, Candice Christina can be contacted via phone (907) 696-4433.Contact Information
Primary practice address
17250 Palos Verdes Dr
Eagle River AK 99577-8133
Phone: (907) 696-4433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care | 385H00000X | 401722 | Alaska |
Profile Details
| NPI number | 1225169543 |
|---|---|
| LBN Legal business name | Mckinnon, Candice Christina |
| Credentials | Certified in Nursing Administration (CNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1225169543 | NPPES |
| Alaska | MEDICAID | HC7062 |
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