Whitehead, Candace A.
Whitehead, Candace A. is an individual health care provider with primary practice located at 1101 Madison St Suite 301, Seattle WA 98104-1306. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Whitehead, Candace A. can be contacted via phone (206) 505-1101.Contact Information
Primary practice address
1101 Madison St Suite 301
Seattle WA 98104-1306
Phone: (206) 505-1101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | LD00001089 | Washington |
Profile Details
| NPI number | 1629068317 |
|---|---|
| LBN Legal business name | Whitehead, Candace A. |
| Credentials | MS, CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629068317 | NPPES |
| Washington | MEDICAID | 8327918 |
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