Champion, Amber Laurel
Champion, Amber Laurel is an individual health care provider with primary practice located at 1707 W Charleston Blvd Ste 200 , Las Vegas NV 89102-2353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Champion, Amber Laurel can be contacted via phone (702) 671-5151.Contact Information
Primary practice address
1707 W Charleston Blvd Ste 200
Las Vegas NV 89102-2353
Phone: (702) 671-5151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | D0073907 | Maryland |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 17504 | Nevada |
Profile Details
| NPI number | 1821258757 |
|---|---|
| LBN Legal business name | Champion, Amber Laurel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821258757 | NPPES |
| Nevada | Other | CS26653 | CONTROLLED SUBSTANCE LICENSE |
| Nevada | Other | V53784 | CONTROLLED SUBSTANCE LICENSE |
| Nevada | MEDICAID | 1821258757 | CONTROLLED SUBSTANCE LICENSE |
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