Champagne, Nichole

Champagne, Nichole is an individual health care provider with primary practice located at 13213 E 14 Mile Rd , Sterling Heights MI 48312. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Champagne, Nichole can be contacted via phone (586) 939-4374.

Contact Information

Primary practice address
13213 E 14 Mile Rd Sterling Heights MI 48312
Phone: (586) 939-4374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1164806618
LBN Legal business name Champagne, Nichole
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2015
Last updated May 17th, 2018 - about 7 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 1164806618 NPPES
Michigan MEDICAID 1164806618

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