Peters, Candy L

Peters, Candy L is an individual health care provider with primary practice located at 1600 Main Street , Lovington NM 88260-2871. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Peters, Candy L can be contacted via phone (575) 396-6611.

Contact Information

Primary practice address
1600 Main Street Lovington NM 88260-2871
Phone: (575) 396-6611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42413 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD2020-0642 New Mexico

Profile Details

NPI number 1720188477
LBN Legal business name Peters, Candy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Feb 9th, 2023 - about 3 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 1720188477 NPPES
Wisconsin Other 434T0VO BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 33343300 BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 4595645 BLUE CROSS BLUE SHIELD

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