Childress, Jennifer T
Childress, Jennifer T is an sole proprietor health care provider with primary practice located at 40660 Northfork Rd , Nehalem OR 97131-9511. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Childress, Jennifer T can be contacted via phone (503) 368-5886.Contact Information
Primary practice address
40660 Northfork Rd
Nehalem OR 97131-9511
Phone: (503) 368-5886
Fax: (503) 368-5886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | DEM-LD-10143021 | Oregon |
Profile Details
| NPI number | 1134438039 |
|---|---|
| LBN Legal business name | Childress, Jennifer T |
| Credentials | CPM LDM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2010 |
| Last updated | Jul 18th, 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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