Bottoms, Candice

Bottoms, Candice is an sole proprietor health care provider with primary practice located at 4615 Sunridge Terrace Dr , Castle Rock CO 80109-7926. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bottoms, Candice can be contacted via phone (870) 926-7497.

Contact Information

Primary practice address
4615 Sunridge Terrace Dr Castle Rock CO 80109-7926
Phone: (870) 926-7497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 24441471 Colorado
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#P8768 Arkansas

Profile Details

NPI number 1598182495
LBN Legal business name Bottoms, Candice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2014
Last updated Apr 12th, 2024 - about 2 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 1598182495 NPPES
Arkansas MEDICAID 201530721

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