Champion, Mary T

Champion, Mary T is an sole proprietor health care provider with primary practice located at 7400 State Line Rd Ste 100 , Prairie Village KS 66208-3447. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Champion, Mary T can be contacted via phone (913) 588-6600.

Contact Information

Primary practice address
7400 State Line Rd Ste 100 Prairie Village KS 66208-3447
Phone: (913) 588-6600
Fax: (913) 588-6655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1 Kansas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 50228 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 50228 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 0439896 Kansas

Profile Details

NPI number 1760779722
LBN Legal business name Champion, Mary T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2011
Last updated Feb 22nd, 2019 - about 6 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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