Champeau, Amy Sprague

Champeau, Amy Sprague is an individual health care provider with primary practice located at 102 10Th St , Racine WI 53403-1513. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Champeau, Amy Sprague can be contacted via phone (262) 635-9355.

Contact Information

Primary practice address
102 10Th St Racine WI 53403-1513
Phone: (262) 635-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 552-124 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 166.000914 Illinois

Profile Details

NPI number 1447204953
LBN Legal business name Champeau, Amy Sprague
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 24th, 2013 - about 13 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 1447204953 NPPES
Wisconsin Other 800011628016 BLUE CROSS BLUE SHIELD

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