Champlin, Jay Ellworth

Champlin, Jay Ellworth is an individual health care provider with primary practice located at 5230 Centre Ave , Pittsburgh PA 15232-1304. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Champlin, Jay Ellworth can be contacted via phone (412) 623-2465.

Contact Information

Primary practice address
5230 Centre Ave Pittsburgh PA 15232-1304
Phone: (412) 623-2465
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD2019-0524 New Mexico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2019-0524 New Mexico

Profile Details

NPI number 1407199540
LBN Legal business name Champlin, Jay Ellworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2013
Last updated Aug 15th, 2019 - about 7 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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