Childs, Raynell M
Childs, Raynell M is an sole proprietor health care provider with primary practice located at 3651 Lindell Rd Ste 748 , Las Vegas NV 89103-1254. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Childs, Raynell M can be contacted via phone (702) 912-4614.Contact Information
Primary practice address
3651 Lindell Rd Ste 748
Las Vegas NV 89103-1254
Phone: (702) 912-4614
Fax: (702) 912-4399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | 2102774206 | Nevada |
Profile Details
| NPI number | 1588080865 |
|---|---|
| LBN Legal business name | Childs, Raynell M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2014 |
| Last updated | Mar 11th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588080865 | NPPES |
| Nevada | MEDICAID | 2102774206 |
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