Champion, Carisa Rose

Champion, Carisa Rose is an sole proprietor health care provider with primary practice located at 2701 Dekalb Pike , East Norriton PA 19401-1820. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Champion, Carisa Rose can be contacted via phone (727) 510-6593.

Contact Information

Primary practice address
2701 Dekalb Pike East Norriton PA 19401-1820
Phone: (727) 510-6593
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 7928 Oklahoma

Profile Details

NPI number 1053765321
LBN Legal business name Champion, Carisa Rose
Credentials DO, JD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2016
Last updated Dec 6th, 2023 - about last year

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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