Champion, Cheryl

Champion, Cheryl is an sole proprietor health care provider with primary practice located at 1930 Coon Rapids Blvd Nw , Coon Rapids MN 55433-4708. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Champion, Cheryl can be contacted via phone (763) 427-7964.

Contact Information

Primary practice address
1930 Coon Rapids Blvd Nw Coon Rapids MN 55433-4708
Fax: (763) 427-7976
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11195 Minnesota

Profile Details

NPI number 1265575542
LBN Legal business name Champion, Cheryl
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Apr 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265575542 NPPES
Minnesota Other 1265575542 BLUE CROSS BLUE SHIELD OF MINNESOTA
Minnesota Other 1265575542 BLUE CROSS BLUE SHIELD OF MINNESOTA
Minnesota MEDICAID 1265575542 BLUE CROSS BLUE SHIELD OF MINNESOTA
Minnesota Other 1265575542 BLUE CROSS BLUE SHIELD OF MINNESOTA
Minnesota Other 1265575542 BLUE CROSS BLUE SHIELD OF MINNESOTA
Minnesota Other 1265575542 BLUE CROSS BLUE SHIELD OF MINNESOTA

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