Kandle, Michael Ross
Kandle, Michael Ross is an sole proprietor health care provider with primary practice located at 11 Orchard Drive , Durham NH 03824-0709. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kandle, Michael Ross can be contacted via phone (603) 868-5700.Contact Information
Primary practice address
11 Orchard Drive
Durham NH 03824-0709
Phone: (603) 868-5700
Fax: (603) 868-5700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 653 | New Hampshire |
Profile Details
| NPI number | 1467475970 |
|---|---|
| LBN Legal business name | Kandle, Michael Ross |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467475970 | NPPES |
| New Hampshire | MEDICAID | 80002496 |
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