Champion, Randall E
Champion, Randall E is an individual health care provider with primary practice located at 120 Southwinds Rd Ste 2 , Farmington AR 72730-8652. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Champion, Randall E can be contacted via phone (479) 300-6400.Contact Information
Primary practice address
120 Southwinds Rd Ste 2
Farmington AR 72730-8652
Phone: (479) 300-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | 938795393 | Arkansas |
Profile Details
| NPI number | 1902363849 |
|---|---|
| LBN Legal business name | Champion, Randall E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2019 |
| Last updated | Feb 27th, 2019 - about 5 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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