Childress, Earnie D

Childress, Earnie D is an individual health care provider with primary practice located at 2126 N 1St St Suite F, Jacksonville AR 72076-2868. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Childress, Earnie D can be contacted via phone (501) 982-5000.

Contact Information

Primary practice address
2126 N 1St St Suite F Jacksonville AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
Website:
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Health care specialties

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

Profile Details

NPI number 1679733067
LBN Legal business name Childress, Earnie D
Credentials QBHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Sep 10th, 2021 - about 3 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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