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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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