Champ, Michael Andrew
Champ, Michael Andrew is an sole proprietor health care provider with primary practice located at 208 Flynn Ave Ste 3J , Burlington VT 05401-5420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Champ, Michael Andrew can be contacted via phone (802) 488-6000.Contact Information
Primary practice address
208 Flynn Ave Ste 3J
Burlington VT 05401-5420
Phone: (802) 488-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 042.0016281 | Vermont |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 042.0016281 | Vermont |
Profile Details
| NPI number | 1295231660 |
|---|---|
| LBN Legal business name | Champ, Michael Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2018 |
| Last updated | Jun 23rd, 2023 - about 3 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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