Champine, Jon-Paul
Champine, Jon-Paul is an sole proprietor health care provider with primary practice located at 2530 Crawford Ave Suite 315, Evanston IL 60201-4970. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Champine, Jon-Paul can be contacted via phone (847) 869-4650.Contact Information
Primary practice address
2530 Crawford Ave Suite 315
Evanston IL 60201-4970
Phone: (847) 869-4650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1982698833 |
|---|---|
| LBN Legal business name | Champine, Jon-Paul |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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