CANDICE HAIRSTON NPI 1639891252

NPI Information

NPI: 1639891252
Provider Name: CANDICE HAIRSTON
Classification: Clinic/Center - 261QR0400X
Entity Type: Individual

Specialization: Rehabilitation

Address:
5408 OREY AVE
CLEVELAND, OH
ZIP 44105
Phone: (216) 240-4690
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Candice Hairston is a rehabilitation clinic center in Cleveland, OH. Candice Hairston NPI is 1639891252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5408 OREY AVE
CLEVELAND, OH
ZIP 44105-339
Phone: (216) 240-4690

The enumeration date for this NPI number is 9/12/2022 and was last updated on 9/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	86-3010133	OTHER	OHIO	STATE OF OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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