Champine, Bridget Ann

Champine, Bridget Ann is an individual health care provider with primary practice located at 2480 W Campus Dr Ste 500, Mt Pleasant MI 48858-5414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Champine, Bridget Ann can be contacted via phone (989) 772-1609.

Contact Information

Primary practice address
2480 W Campus Dr Ste 500 Mt Pleasant MI 48858-5414
Phone: (989) 772-1609
Fax: (989) 773-6279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704237383 Michigan

Profile Details

NPI number 1235466186
LBN Legal business name Champine, Bridget Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2009
Last updated Nov 13th, 2009 - about 17 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 1235466186 NPPES
Michigan Other 4704237383 STATE LIC

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