Shidler, Candice Phyllis Love

Shidler, Candice Phyllis Love is an sole proprietor health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Shidler, Candice Phyllis Love can be contacted via phone (541) 883-1030.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601-6418
Phone: (541) 883-1030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1295218063
LBN Legal business name Shidler, Candice Phyllis Love
Credentials QMHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2018
Last updated Sep 7th, 2018 - about 8 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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