Childs, Marcella E

Childs, Marcella E is an individual health care provider with primary practice located at 100 Constitution Dr Suite 217, Virginia Beach VA 23462-6799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Childs, Marcella E can be contacted via phone (757) 499-7442.

Contact Information

Primary practice address
100 Constitution Dr Suite 217 Virginia Beach VA 23462-6799
Fax: (757) 490-3638
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101235969 Virginia

Profile Details

NPI number 1912977687
LBN Legal business name Childs, Marcella E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 11th, 2012 - about 12 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 1912977687 NPPES
Virginia MEDICAID 1912977687

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