Childers, Jessica

Childers, Jessica is an sole proprietor health care provider with primary practice located at 1501 S Clinton St , Baltimore MD 21224-5730. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Childers, Jessica can be contacted via phone (410) 528-7898.

Contact Information

Primary practice address
1501 S Clinton St Baltimore MD 21224-5730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X R206723 Maryland

Profile Details

NPI number 1780313676
LBN Legal business name Childers, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2022
Last updated Jun 7th, 2022 - about 2 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 1780313676 NPPES
Other . COMMERCIAL HEALTH INSURANCE

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