Mccandless, Donneta

Mccandless, Donneta is an individual health care provider with primary practice located at 1403 Andrea St , Bowling Green KY 42104-3335. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Mccandless, Donneta can be contacted via phone (270) 651-2181.

Contact Information

Primary practice address
1403 Andrea St Bowling Green KY 42104-3335
Fax: (270) 651-2183
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1016 Kentucky

Profile Details

NPI number 1679563357
LBN Legal business name Mccandless, Donneta
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated May 12th, 2011 - about 15 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 1679563357 NPPES
Kentucky Other 1016 OPTICIAN LICENSE

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