Childress, Larry Lee

Childress, Larry Lee is an individual health care provider with primary practice located at 901 N Monroe St Ste 200 , Spokane WA 99201-2148. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Childress, Larry Lee can be contacted via phone (509) 413-2950.

Contact Information

Primary practice address
901 N Monroe St Ste 200 Spokane WA 99201-2148
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X CG61395360 Washington

Profile Details

NPI number 1184475329
LBN Legal business name Childress, Larry Lee
Credentials CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2024
Last updated Jun 17th, 2024 - about last year

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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