Childers, Daniel Joseph

Childers, Daniel Joseph is an sole proprietor health care provider with primary practice located at 210 Court St Suite 4, Watertown NY 13601-4546. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Childers, Daniel Joseph can be contacted via phone (315) 383-7531.

Contact Information

Primary practice address
210 Court St Suite 4 Watertown NY 13601-4546
Fax: (315) 221-4382
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X RO0574061 New York

Profile Details

NPI number 1720098981
LBN Legal business name Childers, Daniel Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jun 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720098981 NPPES
New York MEDICAID 02426997

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