Childers, Regina

Childers, Regina is an sole proprietor health care provider with primary practice located at 790 Grand Ave , New Haven CT 06511-4941. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Childers, Regina can be contacted via phone (203) 789-1681.

Contact Information

Primary practice address
790 Grand Ave New Haven CT 06511-4941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1164620274
LBN Legal business name Childers, Regina
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2007
Last updated Sep 26th, 2007 - about 17 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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