Carroll, Candace Elida
Carroll, Candace Elida is an sole proprietor health care provider with primary practice located at 1221 3Rd Ave , Fairbanks AK 99701-4239. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Carroll, Candace Elida can be contacted via phone (907) 378-0836.Contact Information
Primary practice address
1221 3Rd Ave
Fairbanks AK 99701-4239
Phone: (907) 378-0836
Fax: (907) 374-3973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 100585 | Alaska |
Profile Details
| NPI number | 1982726360 |
|---|---|
| LBN Legal business name | Carroll, Candace Elida |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982726360 | NPPES |
| Alaska | Other | 100585 | ASSISTED LIVING LICENSE N |
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