Churchill, Charles Champ

Churchill, Charles Champ is an individual health care provider with primary practice located at 2650 32Nd Ave S Suite E, Grand Forks ND 58201-6541. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Churchill, Charles Champ can be contacted via phone (701) 775-3905.

Contact Information

Primary practice address
2650 32Nd Ave S Suite E Grand Forks ND 58201-6541
Phone: (701) 775-3905
Fax: (701) 772-8256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1871640557
LBN Legal business name Churchill, Charles Champ
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 19 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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