Van Etten, Candice

Van Etten, Candice is an individual health care provider with primary practice located at 540 Pierce St , Kingston PA 18704-5751. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as her primary health care specialty. Van Etten, Candice can be contacted via phone (570) 718-0101.

Contact Information

Primary practice address
540 Pierce St Kingston PA 18704-5751
Phone: (570) 718-0101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 108374 Pennsylvania

Profile Details

NPI number 1881668739
LBN Legal business name Van Etten, Candice
Credentials CRVT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 17th, 2008 - 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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