Champion, Nathan Michael

Champion, Nathan Michael is an individual health care provider with primary practice located at 10505 Wayzata Blvd Suite 202, Minnetonka MN 55305-1502. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Champion, Nathan Michael can be contacted via phone (952) 417-1912.

Contact Information

Primary practice address
10505 Wayzata Blvd Suite 202 Minnetonka MN 55305-1502
Phone: (952) 417-1912
Fax: (952) 417-1913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 07-1009 Arizona
Other Service Providers / Naturopath 175F00000X 1018 Minnesota

Profile Details

NPI number 1922250372
LBN Legal business name Champion, Nathan Michael
Credentials N.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Jun 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922250372 NPPES
Minnesota Other 1962677815 NPI FOR ORGANIZATION

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