Champagne, Jennifer Luise

Champagne, Jennifer Luise is an sole proprietor health care provider with primary practice located at 435 E Main St , Ansonia CT 06401-1964. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Champagne, Jennifer Luise can be contacted via phone (203) 736-2601.

Contact Information

Primary practice address
435 E Main St Ansonia CT 06401-1964
Phone: (203) 736-2601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000095 Connecticut

Profile Details

NPI number 1316001647
LBN Legal business name Champagne, Jennifer Luise
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jun 9th, 2008 - about 18 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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