Childress, Sedrek

Childress, Sedrek is an individual health care provider with primary practice located at 3406 Soho St Apt 101 , Orlando FL 32835-7593. He recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Education is his primary health care specialty. Childress, Sedrek can be contacted via phone (574) 903-3965.

Contact Information

Primary practice address
3406 Soho St Apt 101 Orlando FL 32835-7593
Phone: (574) 903-3965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X 79170 Florida
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 79170 Florida
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 79170 Florida

Profile Details

NPI number 1598211849
LBN Legal business name Childress, Sedrek
Credentials CERTIFIED NUTRITIONI
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Aug 28th, 2016 - about 9 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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