Childers, Beth M

Childers, Beth M is an sole proprietor health care provider with primary practice located at 231 Devon Rd , La Place LA 70068-5205. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Childers, Beth M can be contacted via phone (985) 212-1660.

Contact Information

Primary practice address
231 Devon Rd La Place LA 70068-5205
Phone: (985) 212-1660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 00336 Louisiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1027837 Texas

Profile Details

NPI number 1972664548
LBN Legal business name Childers, Beth M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 2007 - about 17 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 1972664548 NPPES
Louisiana MEDICAID 1503436

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