Daugherty, Candace Jean

Daugherty, Candace Jean is an individual health care provider with primary practice located at 9191 Grant St , Thornton CO 80229-4361. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Daugherty, Candace Jean can be contacted via phone (303) 450-4482.

Contact Information

Primary practice address
9191 Grant St Thornton CO 80229-4361
Phone: (303) 450-4482
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0004132 Colorado

Profile Details

NPI number 1023413705
LBN Legal business name Daugherty, Candace Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2014
Last updated Mar 20th, 2021 - about 5 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 1023413705 NPPES
Colorado MEDICAID 44650060

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