Reid, Candace M
Reid, Candace M is an sole proprietor health care provider with primary practice located at 802 Ainsworth Dr , Prescott AZ 86301-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Reid, Candace M can be contacted via phone (928) 775-5567.Contact Information
Primary practice address
802 Ainsworth Dr
Prescott AZ 86301-1623
Phone: (928) 775-5567
Fax: (928) 772-1522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3518 | Arizona |
Profile Details
| NPI number | 1396739066 |
|---|---|
| LBN Legal business name | Reid, Candace M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1396739066 | NPPES |
| Arizona | MEDICAID | 586042 | |
| Arizona | Other | Z65549 | |
| Arizona | Other | 3518 |
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