Champ, Brent
Champ, Brent is an individual health care provider with primary practice located at 643 White Fawn Rd , Mathias WV 26812-8665. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Champ, Brent can be contacted via phone (304) 636-9396.Contact Information
Primary practice address
643 White Fawn Rd
Mathias WV 26812-8665
Phone: (304) 636-9396
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1205420148 |
|---|---|
| LBN Legal business name | Champ, Brent |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2021 |
| Last updated | Jun 29th, 2021 - about 4 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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