Deschamps, Judith A

Deschamps, Judith A is an individual health care provider with primary practice located at 125 E Broad St Suite 305, Elyria OH 44035-6400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Deschamps, Judith A can be contacted via phone (440) 414-9100.

Contact Information

Primary practice address
125 E Broad St Suite 305 Elyria OH 44035-6400
Fax: (440) 322-4104
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN167699 Ohio

Profile Details

NPI number 1508971078
LBN Legal business name Deschamps, Judith A
Credentials RN, MSN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 3rd, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508971078 NPPES
Ohio MEDICAID PENDING

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