Childress, James Michael

Childress, James Michael is an individual health care provider with primary practice located at 2216 Princess Anne St , Fredericksburg VA 22401-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Childress, James Michael can be contacted via phone (540) 371-5700.

Contact Information

Primary practice address
2216 Princess Anne St Fredericksburg VA 22401-3300
Phone: (540) 371-5700
Fax: (540) 373-1228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101032062 Virginia

Profile Details

NPI number 1417947888
LBN Legal business name Childress, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417947888 NPPES
Virginia MEDICAID 6763511

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