Champion, Katherine Ann

Champion, Katherine Ann is an sole proprietor health care provider with primary practice located at 4918 Mable St , Corpus Christi TX 78411-4029. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Champion, Katherine Ann can be contacted via phone (361) 933-6399.

Contact Information

Primary practice address
4918 Mable St Corpus Christi TX 78411-4029
Phone: (361) 933-6399
Fax: (361) 933-6399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X

Profile Details

NPI number 1528699592
LBN Legal business name Champion, Katherine Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2020
Last updated Apr 17th, 2023 - about last year

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 1528699592 NPPES
Texas MEDICAID 513969099
Texas Other 5A10-E24-KC21

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