Taylor, Candace Marie
Taylor, Candace Marie is an individual health care provider with primary practice located at 6128 E 38Th St , Tulsa OK 74135-5832. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Taylor, Candace Marie can be contacted via phone (918) 664-4224.Contact Information
Primary practice address
6128 E 38Th St
Tulsa OK 74135-5832
Phone: (918) 664-4224
Fax: (918) 663-0203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1679010284 |
|---|---|
| LBN Legal business name | Taylor, Candace Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2017 |
| Last updated | Jun 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679010284 | NPPES |
| Oklahoma | MEDICAID | 043071771 |
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