Champine, Jason

Champine, Jason is an sole proprietor health care provider with primary practice located at 15855 19 Mile Rd , Clinton Township MI 48038-3504. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Champine, Jason can be contacted via phone (586) 263-2193.

Contact Information

Primary practice address
15855 19 Mile Rd Clinton Township MI 48038-3504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002948 Michigan

Profile Details

NPI number 1902134430
LBN Legal business name Champine, Jason
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2009
Last updated Nov 20th, 2009 - about 16 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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