Champion Urology Ltd

LBN: Champion Urology Ltd
Champion Urology Ltd is an health care organization with primary practice located at 35 Wells Street , Westerly RI 02891. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Champion Urology Ltd can be contacted via phone (401) 596-0964, or through Lutzel, Constance Lin via phone (401) 596-0964.

Contact Information

Primary practice address
35 Wells Street Westerly RI 02891
Phone: (401) 596-0964
Fax: (401) 596-8634
Website:
Map and Directions
Authorized official contact:
Name: Lutzel, Constance Lin
Phone: (401) 596-0964

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 7511 Rhode Island
Allopathic & Osteopathic Physicians / Urology 208800000X 10831 Rhode Island
Allopathic & Osteopathic Physicians / Urology 208800000X 040289 Connecticut

Profile Details

NPI number 1013925965
LBN Legal business name Champion Urology Ltd
DBA Doing business as
Authorized official Lutzel, Constance Lin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013925965 NPPES
Connecticut MEDICAID 003114204
Connecticut MEDICAID CU43922

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