Childs, Chad

Childs, Chad is an individual health care provider with primary practice located at 4505 E 47Th St S , Wichita KS 67210-1651. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Childs, Chad can be contacted via phone (316) 529-9100.

Contact Information

Primary practice address
4505 E 47Th St S Wichita KS 67210-1651
Phone: (316) 529-9100
Fax: (316) 529-9351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 689 Kansas

Profile Details

NPI number 1962593772
LBN Legal business name Childs, Chad
Credentials LCMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 23rd, 2011 - about 14 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 1962593772 NPPES
Kansas MEDICAID 100229020A
Kansas Other 829978

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