Black, Sophie Champagne
Black, Sophie Champagne is an sole proprietor health care provider with primary practice located at 310 Autumn Ridge Dr , Kosciusko MS 39090-3242. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Black, Sophie Champagne can be contacted via phone (662) 289-3499.Contact Information
Primary practice address
310 Autumn Ridge Dr
Kosciusko MS 39090-3242
Phone: (662) 289-3499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT0533 | Mississippi |
Profile Details
| NPI number | 1093920522 |
|---|---|
| LBN Legal business name | Black, Sophie Champagne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Dec 29th, 2009 - about 17 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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