Champagne, Kathe S
Champagne, Kathe S is an sole proprietor health care provider with primary practice located at 12999 6Th Street , Lillian AL 36549-4107. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Champagne, Kathe S can be contacted via phone (251) 962-3077.Contact Information
Primary practice address
12999 6Th Street
Lillian AL 36549-4107
Phone: (251) 962-3077
Fax: (251) 962-3083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 96872008 | Alabama |
Profile Details
| NPI number | 1881865061 |
|---|---|
| LBN Legal business name | Champagne, Kathe S |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2008 |
| Last updated | Apr 17th, 2008 - about 17 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 | 1881865061 | NPPES |
| Alabama | Other | 0822990001 | MEDICARE |
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