Champagne, Tyler A

Champagne, Tyler A is an individual health care provider with primary practice located at 204 W Hill Blvd , Charleston Afb SC 29404-4704. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Paramedic, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Champagne, Tyler A can be contacted via phone (618) 256-7040.

Contact Information

Primary practice address
204 W Hill Blvd Charleston Afb SC 29404-4704
Phone: (618) 256-7040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Paramedic 146L00000X P-16941 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1972887768
LBN Legal business name Champagne, Tyler A
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2011
Last updated Aug 12th, 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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