Caldwell, Candace C.

Caldwell, Candace C. is an sole proprietor health care provider with primary practice located at 330 Longwood Dr , Grenada MS 38901-9326. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Caldwell, Candace C. can be contacted via phone (662) 226-1012.

Contact Information

Primary practice address
330 Longwood Dr Grenada MS 38901-9326
Phone: (662) 226-1012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P316109 Mississippi

Profile Details

NPI number 1245390806
LBN Legal business name Caldwell, Candace C.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 9th, 2007 - about 19 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 1245390806 NPPES
Mississippi MEDICAID 00770519

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