Champagne, Bruce

Champagne, Bruce is an individual health care provider with primary practice located at 2101 Centrepark West Dr. Suite 175, West Palm Beach FL 33409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Champagne, Bruce can be contacted via phone (561) 242-3009.

Contact Information

Primary practice address
2101 Centrepark West Dr. Suite 175 West Palm Beach FL 33409
Phone: (561) 242-3009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 119752 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 175085 New York

Profile Details

NPI number 1912999608
LBN Legal business name Champagne, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912999608 NPPES
New York MEDICAID 01911848

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