Childress, Paige Lynn

Childress, Paige Lynn is an individual health care provider with primary practice located at 1131 N Dixie Fwy , New Smyrna FL 32168-6069. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, which is considered as her primary health care specialty. Childress, Paige Lynn can be contacted via phone (386) 427-6344.

Contact Information

Primary practice address
1131 N Dixie Fwy New Smyrna FL 32168-6069
Phone: (386) 427-6344
Fax: (855) 250-9392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X CFM03368

Profile Details

NPI number 1538761465
LBN Legal business name Childress, Paige Lynn
Credentials CF-M
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2020
Last updated Nov 16th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538761465 NPPES
Other CFM03368 CERTIFIED FITTER-MASTECTOMY

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