Childs, Matt
Childs, Matt is an sole proprietor health care provider with primary practice located at 1315 11Th Ct Sw , North Bend WA 98045-7989. He recently has only one registered license in Agencies / Supports Brokerage, which is considered as his primary health care specialty. Childs, Matt can be contacted via phone (812) 251-6639.Contact Information
Primary practice address
1315 11Th Ct Sw
North Bend WA 98045-7989
Phone: (812) 251-6639
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Supports Brokerage | 251X00000X | 1031895 | Washington |
Profile Details
| NPI number | 1134717747 |
|---|---|
| LBN Legal business name | Childs, Matt |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2021 |
| Last updated | Jan 8th, 2021 - about 5 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 | 1134717747 | NPPES |
| Washington | Other | 1031895 | INSURANCE LICENSE NUMBER |
| Washington | Other | 19306485 | INSURANCE LICENSE NUMBER |
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