Champagne, Lloyd C
Champagne, Lloyd C is an individual health care provider with primary practice located at 370 E Virginia Ave Suite 100, Phoenix AZ 85004-1214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Champagne, Lloyd C can be contacted via phone (602) 258-4788.Contact Information
Primary practice address
370 E Virginia Ave Suite 100
Phoenix AZ 85004-1214
Phone: (602) 258-4788
Fax: (602) 258-5131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 27791 | Arizona |
Profile Details
| NPI number | 1407856537 |
|---|---|
| LBN Legal business name | Champagne, Lloyd C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1407856537 | NPPES |
| Arizona | Other | Z131863 | MEDICARE |
| Arizona | MEDICAID | 482266 | MEDICARE |
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