Champion, Jane D
Champion, Jane D is an individual health care provider with primary practice located at 1800 Garner Field Rd , Uvalde TX 78801-6210. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Champion, Jane D can be contacted via phone (830) 278-4453.Contact Information
Primary practice address
1800 Garner Field Rd
Uvalde TX 78801-6210
Phone: (830) 278-4453
Fax: (830) 278-3427
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 239515 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 239515 | Texas |
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 239515 | Texas |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 239515 | Texas |
Profile Details
NPI number | 1578567517 |
---|---|
LBN Legal business name | Champion, Jane D |
Credentials | PH.D., C.S., F.N.P |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2005 |
Last updated | Nov 13th, 2014 - about 10 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 | 1578567517 | NPPES |
Texas | MEDICAID | 017801401 | |
Texas | MEDICAID | 029245003 | |
Texas | Other | 239515 | |
Texas | MEDICAID | 063389301 | |
Texas | MEDICAID | 029245002 | |
Texas | MEDICAID | 083850001 |
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