Childress, Catherine Penn
Childress, Catherine Penn is an individual health care provider with primary practice located at 1690 Us Highway 1 S Ste A , St Augustine FL 32084-6024. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Childress, Catherine Penn can be contacted via phone (904) 810-2101.Contact Information
Primary practice address
1690 Us Highway 1 S Ste A
St Augustine FL 32084-6024
Phone: (904) 810-2101
Fax: (904) 810-2106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT22844 | Florida |
Profile Details
| NPI number | 1144350778 |
|---|---|
| LBN Legal business name | Childress, Catherine Penn |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Aug 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144350778 | NPPES |
| Florida | Other | PT22844 | LICENSE |
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