Childers, Heather

Childers, Heather is an individual health care provider with primary practice located at 116 Agnes Ave , Santa Maria CA 93458-2838. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Childers, Heather can be contacted via phone (805) 457-3724.

Contact Information

Primary practice address
116 Agnes Ave Santa Maria CA 93458-2838
Phone: (805) 457-3724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 275667 California

Profile Details

NPI number 1366088064
LBN Legal business name Childers, Heather
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2019
Last updated Nov 18th, 2019 - about 5 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 1366088064 NPPES
Other 1205480563 TELECARE AGNES AVE

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