Packer, Candice
Packer, Candice is an sole proprietor health care provider with primary practice located at 130 W Main St , Lehi UT 84043-2100. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Packer, Candice can be contacted via phone (801) 528-3247.Contact Information
Primary practice address
130 W Main St
Lehi UT 84043-2100
Phone: (801) 528-3247
Fax: (801) 753-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7744469-3502 | Utah |
Profile Details
| NPI number | 1194022590 |
|---|---|
| LBN Legal business name | Packer, Candice |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2011 |
| Last updated | Feb 21st, 2011 - about 13 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 | 1194022590 | NPPES |
| Utah | MEDICAID | 1770721300 |
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