Champion, Emily Grace

Champion, Emily Grace is an individual health care provider with primary practice located at 1300 N 17Th Ave , Greeley CO 80631-9584. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Champion, Emily Grace can be contacted via phone (970) 347-2120.

Contact Information

Primary practice address
1300 N 17Th Ave Greeley CO 80631-9584
Phone: (970) 347-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1366017105
LBN Legal business name Champion, Emily Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2021
Last updated May 24th, 2021 - about 4 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 1366017105 NPPES
Colorado Other NONE NONE

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