Leaphart-St Cloud, Candance

Leaphart-St Cloud, Candance is an individual health care provider with primary practice located at 1505 Wigwam Pkwy Ste 241 , Henderson NV 89074-8195. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Leaphart-St Cloud, Candance can be contacted via phone (702) 852-3112.

Contact Information

Primary practice address
1505 Wigwam Pkwy Ste 241 Henderson NV 89074-8195
Phone: (702) 852-3112
Fax: (702) 933-8705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036113883 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X DO1945 Nevada

Profile Details

NPI number 1700836905
LBN Legal business name Leaphart-St Cloud, Candance
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Sep 8th, 2020 - about 6 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 1700836905 NPPES
Wisconsin MEDICAID 1700836905
Wisconsin Other 036113883
Wisconsin MEDICAID 1700836905
Wisconsin MEDICAID 036113883

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