Champa, Mary R

Champa, Mary R is an individual health care provider with primary practice located at 624 S 13Th St Range Mental Health Center Inc, Virginia MN 55792. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Champa, Mary R can be contacted via phone (218) 749-2881.

Contact Information

Primary practice address
624 S 13Th St Range Mental Health Center Inc Virginia MN 55792
Phone: (218) 749-2881
Fax: (218) 749-3806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X R1057188 Minnesota

Profile Details

NPI number 1881783926
LBN Legal business name Champa, Mary R
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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