Champion, Tom

Champion, Tom is an individual health care provider with primary practice located at 77186 Lauppe Ln , Citrus Heights CA 95621-2039. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Champion, Tom can be contacted via phone (916) 395-3552.

Contact Information

Primary practice address
77186 Lauppe Ln Citrus Heights CA 95621-2039
Phone: (916) 395-3552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1184803991
LBN Legal business name Champion, Tom
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Aug 19th, 2014 - about 12 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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