Wiggins, Candace M

Wiggins, Candace M is an individual health care provider with primary practice located at 4747 Middle Settlement Rd , New Hartford NY 13413-4983. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wiggins, Candace M can be contacted via phone (315) 793-8580.

Contact Information

Primary practice address
4747 Middle Settlement Rd New Hartford NY 13413-4983
Phone: (315) 793-8580
Fax: (315) 223-4718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 024327-1 New York

Profile Details

NPI number 1508915018
LBN Legal business name Wiggins, Candace M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Sep 13th, 2012 - about 14 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 1508915018 NPPES
New York MEDICAID 02554763
New York Other 11516408

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