Champion, Forrest Joshua

Champion, Forrest Joshua is an individual health care provider with primary practice located at 7777 E Us Highway 66 , El Reno OK 73036-9125. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Champion, Forrest Joshua can be contacted via phone (405) 422-8800.

Contact Information

Primary practice address
7777 E Us Highway 66 El Reno OK 73036-9125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oklahoma

Profile Details

NPI number 1942573308
LBN Legal business name Champion, Forrest Joshua
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2012
Last updated Feb 15th, 2012 - about 14 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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