Childress, David Michael
Childress, David Michael is an individual health care provider with primary practice located at 1500 E Sherman Blvd , Muskegon MI 49443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Childress, David Michael can be contacted via phone (231) 739-9341.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301076022 | Michigan |
Profile Details
| NPI number | 1568409043 |
|---|---|
| LBN Legal business name | Childress, David Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | May 19th, 2008 - about 16 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 | 1568409043 | NPPES |
| Michigan | Other | DC076022 | BCBS |
| Michigan | MEDICAID | 104735174 | BCBS |
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