Wilson, Candace

Wilson, Candace is an individual health care provider with primary practice located at 1053 Center Street Sc House Calls Inc, West Columbia SC 29169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Candace can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
1053 Center Street Sc House Calls Inc West Columbia SC 29169
Phone: (800) 491-0909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19152 South Carolina

Profile Details

NPI number 1417352915
LBN Legal business name Wilson, Candace
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2014
Last updated Jun 15th, 2021 - about 5 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 1417352915 NPPES
South Carolina MEDICAID NP3413

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