Childress, Alisa

Childress, Alisa is an individual health care provider with primary practice located at 3717 Taylorsville Rd 1St Floor, Louisville KY 40220-1333. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Childress, Alisa can be contacted via phone (502) 589-8600.

Contact Information

Primary practice address
3717 Taylorsville Rd 1St Floor Louisville KY 40220-1333
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1306040506
LBN Legal business name Childress, Alisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Aug 24th, 2011 - about 14 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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