Champaloux, Gerard

Champaloux, Gerard is an sole proprietor health care provider with primary practice located at 14300 Gallant Fox Lane Suite 110, Bowie MD 20715-4031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Champaloux, Gerard can be contacted via phone (301) 262-6797.

Contact Information

Primary practice address
14300 Gallant Fox Lane Suite 110 Bowie MD 20715-4031
Phone: (301) 262-6797
Fax: (301) 262-2564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0020905 Maryland

Profile Details

NPI number 1205938305
LBN Legal business name Champaloux, Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Dec 2nd, 2019 - about 7 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 1205938305 NPPES
Maryland MEDICAID 784741600

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