Childress, Steve
Childress, Steve is an individual health care provider with primary practice located at 402 Carriage Dr , Beckley WV 25801-2806. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Childress, Steve can be contacted via phone (304) 255-0439.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | WV3449 | West Virginia |
Profile Details
| NPI number | 1548209869 |
|---|---|
| LBN Legal business name | Childress, Steve |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1548209869 | NPPES |
| West Virginia | MEDICAID | 4001074-000 |
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