Childers, Pennie

Childers, Pennie is an individual health care provider with primary practice located at 7566 Cornell Ave , Saint Louis MO 63130-2813. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Childers, Pennie can be contacted via phone (314) 706-1842.

Contact Information

Primary practice address
7566 Cornell Ave Saint Louis MO 63130-2813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Missouri

Profile Details

NPI number 1396339156
LBN Legal business name Childers, Pennie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - 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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