Childress, Micah Leon

Childress, Micah Leon is an sole proprietor health care provider with primary practice located at 2340 Sunset Blvd #100 Studio 23, Rocklin CA 95765. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Childress, Micah Leon can be contacted via phone (903) 918-3016.

Contact Information

Primary practice address
2340 Sunset Blvd #100 Studio 23 Rocklin CA 95765
Phone: (903) 918-3016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95027332 California

Profile Details

NPI number 1063291847
LBN Legal business name Childress, Micah Leon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2023
Last updated Sep 21st, 2023 - 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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