Healthcare Provider Details

I. General information

NPI: 1689328643
Provider Name (Legal Business Name): CANDICE FRANCESCA TRAN DC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 KENNEBEC DR
CHAMBERSBURG PA
17201-2809
US

IV. Provider business mailing address

1124 KENNEBEC DR
CHAMBERSBURG PA
17201-2809
US

V. Phone/Fax

Practice location:
  • Phone: 717-263-2655
  • Fax: 717-263-2655
Mailing address:
  • Phone: 717-263-8919
  • Fax: 717-263-2655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC011724
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK001458
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: