Holder, Candice J

Holder, Candice J is an individual health care provider with primary practice located at 1639 N Alpine Rd Ste 260 , Rockford IL 61107-1481. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Holder, Candice J can be contacted via phone (815) 395-1500.

Contact Information

Primary practice address
1639 N Alpine Rd Ste 260 Rockford IL 61107-1481
Phone: (815) 395-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209018392 Illinois

Profile Details

NPI number 1376976530
LBN Legal business name Holder, Candice J
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2013
Last updated Jul 26th, 2023 - about 3 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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