Champagne, Heather Lynn

Champagne, Heather Lynn is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Champagne, Heather Lynn can be contacted via phone (860) 224-5691.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Phone: (860) 224-5691
Fax: (860) 224-5795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001750 Connecticut

Profile Details

NPI number 1962473926
LBN Legal business name Champagne, Heather Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 9th, 2022 - about 2 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 1962473926 NPPES
Connecticut Other 001750 LICENSE

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