Wommack, Kandice Joette
Wommack, Kandice Joette is an sole proprietor health care provider with primary practice located at 142 Vine St , Benton KY 42025-7472. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Wommack, Kandice Joette can be contacted via phone (270) 527-0000.Contact Information
Primary practice address
142 Vine St
Benton KY 42025-7472
Phone: (270) 527-0000
Fax: (270) 527-2121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4556 | Kentucky |
Profile Details
| NPI number | 1467484980 |
|---|---|
| LBN Legal business name | Wommack, Kandice Joette |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Oct 16th, 2017 - about 8 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 | 1467484980 | NPPES |
| Kentucky | Other | 614099 | ACN |
| Kentucky | Other | 44-00390 | ACN |
| Kentucky | Other | 7670104 | ACN |
| Kentucky | Other | 000000077520 | ACN |
| Kentucky | Other | 350052669 | ACN |
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