Childress, Thomas Wayne
Childress, Thomas Wayne is an sole proprietor health care provider with primary practice located at 3 Audubon Plaza Dr Suite 320, Louisville KY 40217-1319. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Childress, Thomas Wayne can be contacted via phone (502) 893-1844.Contact Information
Primary practice address
3 Audubon Plaza Dr Suite 320
Louisville KY 40217-1319
Phone: (502) 893-1844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00209 | Kentucky |
Profile Details
| NPI number | 1013094978 |
|---|---|
| LBN Legal business name | Childress, Thomas Wayne |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | May 13th, 2019 - about 6 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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