Smith, Candace L

Smith, Candace L is an individual health care provider with primary practice located at 1135 116Th Ave Ne Suite 110A, Bellevue WA 98004-4623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Smith, Candace L can be contacted via phone (425) 289-3100.

Contact Information

Primary practice address
1135 116Th Ave Ne Suite 110A Bellevue WA 98004-4623
Phone: (425) 289-3100
Fax: (425) 289-3103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00018765 Washington

Profile Details

NPI number 1649231747
LBN Legal business name Smith, Candace L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649231747 NPPES
Washington Other SM5220 REGENCE BLUESHIELD RIDER
Washington MEDICAID 8617904 REGENCE BLUESHIELD RIDER
Washington Other 0133895 REGENCE BLUESHIELD RIDER

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