Childers, Sue Ann
Childers, Sue Ann is an sole proprietor health care provider with primary practice located at 2810 N Swan St , Silver City NM 88061-5853. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Childers, Sue Ann can be contacted via phone (505) 956-2000.Contact Information
Primary practice address
2810 N Swan St
Silver City NM 88061-5853
Phone: (505) 956-2000
Fax: (505) 956-2055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 896 | New Mexico |
Profile Details
| NPI number | 1568595601 |
|---|---|
| LBN Legal business name | Childers, Sue Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1568595601 | NPPES |
| New Mexico | MEDICAID | 000J3898 |
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