Grotsky, Candice Lorraine
Grotsky, Candice Lorraine is an individual health care provider with primary practice located at 1840 S. Stapley Dr. Ste. 101, Mesa AZ 85204. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Grotsky, Candice Lorraine can be contacted via phone (480) 464-6870.Contact Information
Primary practice address
1840 S. Stapley Dr. Ste. 101
Mesa AZ 85204
Phone: (480) 464-6870
Fax: (480) 464-6943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA1759 | Arizona |
Profile Details
| NPI number | 1326026352 |
|---|---|
| LBN Legal business name | Grotsky, Candice Lorraine |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jan 10th, 2008 - about 17 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 | 1326026352 | NPPES |
| Arizona | MEDICAID | 761074 |
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