Champion, Gwendolyn
Champion, Gwendolyn is an sole proprietor health care provider with primary practice located at 4026 E Teal Estates Cir , Fresno TX 77545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Champion, Gwendolyn can be contacted via phone (510) 984-8610.Contact Information
Primary practice address
4026 E Teal Estates Cir
Fresno TX 77545
Phone: (510) 984-8610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | SA00547 |
Profile Details
| NPI number | 1407241300 |
|---|---|
| LBN Legal business name | Champion, Gwendolyn |
| Credentials | LSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2015 |
| Last updated | Apr 30th, 2020 - about 6 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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