1588862148 NPI number — CANDICE M. LIMMER MS

Table of content: CANDICE M. LIMMER MS (NPI 1588862148)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588862148 NPI number — CANDICE M. LIMMER MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIMMER
Provider First Name:
CANDICE
Provider Middle Name:
M.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LIMMER
Provider Other First Name:
CANDICE
Provider Other Middle Name:
M.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1588862148
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/05/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 904
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CANTON
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06019-0904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-693-6344
Provider Business Mailing Address Fax Number:
860-693-1160

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
259 ALBANY TPKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06019-2557
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-693-6344
Provider Business Practice Location Address Fax Number:
860-693-1160
Provider Enumeration Date:
07/05/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  001881 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: 566 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)