Champion, Nicholas Tyler
Champion, Nicholas Tyler is an individual health care provider with primary practice located at 195 Center Rd Ste B , Venice FL 34285-5565. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Champion, Nicholas Tyler can be contacted via phone (941) 492-6227.Contact Information
Primary practice address
195 Center Rd Ste B
Venice FL 34285-5565
Phone: (941) 492-6227
Fax: (941) 492-6335
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME158384 | Florida |
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | ME158384 | Florida |
Profile Details
NPI number | 1659806644 |
---|---|
LBN Legal business name | Champion, Nicholas Tyler |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2017 |
Last updated | Sep 8th, 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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