Champion, Amanda Marie

Champion, Amanda Marie is an sole proprietor health care provider with primary practice located at 6501 N Sheridan Rd , Peoria IL 61614. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Champion, Amanda Marie can be contacted via phone (309) 692-8670.

Contact Information

Primary practice address
6501 N Sheridan Rd Peoria IL 61614
Phone: (309) 692-8670
Fax: (309) 692-8673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146008397 Illinois

Profile Details

NPI number 1841270279
LBN Legal business name Champion, Amanda Marie
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Oct 21st, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841270279 NPPES
Illinois Other 07215148 GROUP#BLUESHIELD OF IL

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