Champ, Amy H
Champ, Amy H is an individual health care provider with primary practice located at 3192 Willow Creek Rd , Prescott AZ 86301-6610. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Champ, Amy H can be contacted via phone (928) 778-3950.Contact Information
Primary practice address
3192 Willow Creek Rd
Prescott AZ 86301-6610
Phone: (928) 778-3950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0967 | Arizona |
Profile Details
| NPI number | 1649238346 |
|---|---|
| LBN Legal business name | Champ, Amy H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Apr 20th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649238346 | NPPES |
| Arizona | MEDICAID | 437732 |
Popular Providers
-
Morgan, Gary L
3155 Stillwater Dr Ste A , Prescott AZ 86305-7172 -
Bauer, Rodney W
3050 Highway 69 Suite A, Prescott AZ 86301 -
Markham, John R
1680 Willow Creek Rd , Prescott AZ 86301-1108 -
Meyers, Steven Mark
1022 Willow Creek Rd Suite 200, Prescott AZ 86301-1607 -
Geiler, Todd G.
1000 Willow Creek Rd Ste J , Prescott AZ 86301-1645 -
Williams, Kenneth Walter
3250 Gateway Blvd #152, Prescott AZ 86303-6849 -
Mellblom, Frank V.
V.A. Medical Center Navahcs 500 N Hwy 89, Prescott AZ 86314 -
Sullivan, Matthew Ryan
980 Willow Creek Road Suite 202, Prescott AZ 86301-1610