Childers, Brandon Jack

Childers, Brandon Jack is an individual health care provider with primary practice located at 1900 Stillwater Dr , Jonesboro AR 72404-9119. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Childers, Brandon Jack can be contacted via phone (870) 932-3600.

Contact Information

Primary practice address
1900 Stillwater Dr Jonesboro AR 72404-9119
Phone: (870) 932-3600
Fax: (870) 932-3611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1225463003
LBN Legal business name Childers, Brandon Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2013
Last updated Sep 11th, 2013 - about 11 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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