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
Phone: (315) 383-7531
Fax: (315) 221-4382
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720098981 | NPPES |
New York | MEDICAID | 02426997 |
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