Champion, Darryl Deshawn

Champion, Darryl Deshawn is an sole proprietor health care provider with primary practice located at 444 Lealand Lane , Lebanon TN 37087. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other is his primary health care specialty. Champion, Darryl Deshawn can be contacted via phone (615) 554-7401.

Contact Information

Primary practice address
444 Lealand Lane Lebanon TN 37087
Phone: (615) 554-7401
Fax: (615) 547-9323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X

Profile Details

NPI number 1255650867
LBN Legal business name Champion, Darryl Deshawn
Credentials MDX
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2010
Last updated May 21st, 2010 - about 14 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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