Provider Demographics
NPI:1831797711
Name:SCHUMACHER, CANDACE SUE
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:SUE
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 RISING SPRING CT
Mailing Address - Street 2:
Mailing Address - City:SUGARCRK TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45305-9749
Mailing Address - Country:US
Mailing Address - Phone:937-271-8664
Mailing Address - Fax:
Practice Address - Street 1:3040 RISING SPRING CT
Practice Address - Street 2:
Practice Address - City:SUGARCRK TWP
Practice Address - State:OH
Practice Address - Zip Code:45305-9749
Practice Address - Country:US
Practice Address - Phone:937-271-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant