Childress, Matthew

Childress, Matthew is an sole proprietor health care provider with primary practice located at 101 Carriage Pt Suite 202, Hurricane WV 25526-1526. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Childress, Matthew can be contacted via phone (304) 634-4085.

Contact Information

Primary practice address
101 Carriage Pt Suite 202 Hurricane WV 25526-1526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT 003171 West Virginia

Profile Details

NPI number 1528513629
LBN Legal business name Childress, Matthew
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2016
Last updated Aug 18th, 2016 - about 8 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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