Ortiz, Candice E

Ortiz, Candice E is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Ortiz, Candice E can be contacted via phone (802) 748-7567.

Contact Information

Primary practice address
1315 Hospital Dr St Johnsbury VT 05819-9210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 042-0009723 Vermont
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 042-0009723 Vermont

Profile Details

NPI number 1093814139
LBN Legal business name Ortiz, Candice E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093814139 NPPES
Vermont MEDICAID 0VN1813

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