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
Phone: (763) 427-7964
Fax: (763) 427-7976
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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