Champaloux, Gerard
Champaloux, Gerard is an sole proprietor health care provider with primary practice located at 14300 Gallant Fox Lane Suite 110, Bowie MD 20715-4031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Champaloux, Gerard can be contacted via phone (301) 262-6797.Contact Information
Primary practice address
14300 Gallant Fox Lane Suite 110
Bowie MD 20715-4031
Phone: (301) 262-6797
Fax: (301) 262-2564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0020905 | Maryland |
Profile Details
| NPI number | 1205938305 |
|---|---|
| LBN Legal business name | Champaloux, Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Dec 2nd, 2019 - about 5 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 | 1205938305 | NPPES |
| Maryland | MEDICAID | 784741600 |
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