Childs, Tynia

Childs, Tynia is an sole proprietor health care provider with primary practice located at 685 W Broadway Apt 7K , Monticello NY 12701-7154. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Childs, Tynia can be contacted via phone (845) 428-5554.

Contact Information

Primary practice address
685 W Broadway Apt 7K Monticello NY 12701-7154
Phone: (845) 428-5554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 300685 New York

Profile Details

NPI number 1508176397
LBN Legal business name Childs, Tynia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Feb 22nd, 2019 - about 5 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 1508176397 NPPES
New York MEDICAID 1508176397

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