Hamilton, Candice R

Hamilton, Candice R is an individual health care provider with primary practice located at 550 University Blvd Uh 3005, Indianapolis IN 46202-5149. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hamilton, Candice R can be contacted via phone (317) 944-2167.

Contact Information

Primary practice address
550 University Blvd Uh 3005 Indianapolis IN 46202-5149
Phone: (317) 944-2167
Fax: (317) 944-2305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71001487A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001487A Indiana

Profile Details

NPI number 1063507374
LBN Legal business name Hamilton, Candice R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063507374 NPPES
Other 000000612784 ANTHEM
MEDICAID 200939930 ANTHEM

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