Ortiz, Candice E
Ortiz, Candice E is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Ortiz, Candice E can be contacted via phone (802) 748-7567.Contact Information
Primary practice address
1315 Hospital Dr
St Johnsbury VT 05819-9210
Phone: (802) 748-7567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 042-0009723 | Vermont |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 042-0009723 | Vermont |
Profile Details
| NPI number | 1093814139 |
|---|---|
| LBN Legal business name | Ortiz, Candice E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1093814139 | NPPES |
| Vermont | MEDICAID | 0VN1813 |
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