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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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