Myers, Candace R

Myers, Candace R is an individual health care provider with primary practice located at 1306 Apple Glen Blvd , Fort Wayne IN 46804-1792. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Myers, Candace R can be contacted via phone (260) 459-6924.

Contact Information

Primary practice address
1306 Apple Glen Blvd Fort Wayne IN 46804-1792
Fax: (260) 459-6200
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002262A Indiana

Profile Details

NPI number 1346226263
LBN Legal business name Myers, Candace R
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Feb 19th, 2009 - about 16 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 1346226263 NPPES
Indiana MEDICAID 200313390

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