Deloatch, Candyce
Deloatch, Candyce is an sole proprietor health care provider with primary practice located at 43520 Division St , Lancaster CA 93535-4089. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Deloatch, Candyce can be contacted via phone (661) 266-4783.Contact Information
Primary practice address
43520 Division St
Lancaster CA 93535-4089
Phone: (661) 266-4783
Fax: (661) 266-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | T1894 | Maryland |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A125972 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A125972 | California |
Profile Details
| NPI number | 1174660385 |
|---|---|
| LBN Legal business name | Deloatch, Candyce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Aug 13th, 2014 - about 12 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 | 1174660385 | NPPES |
| California | Other | 95-2633765 | MEDI-CAL |
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