Provider Demographics
NPI:1487965737
Name:CHILDERS, WILLIAM ASHER JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ASHER
Last Name:CHILDERS
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2070 MCDONALD RD
Mailing Address - Street 2:
Mailing Address - City:VINCENT
Mailing Address - State:OH
Mailing Address - Zip Code:45784-5537
Mailing Address - Country:US
Mailing Address - Phone:740-678-8384
Mailing Address - Fax:740-376-4951
Practice Address - Street 1:215 5TH ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-4033
Practice Address - Country:US
Practice Address - Phone:740-376-4952
Practice Address - Fax:740-376-4951
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2024-10-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical