Champlain Sports Medicine Pc

LBN: Champlain Sports Medicine Pc
Champlain Sports Medicine Pc is an health care organization with primary practice located at 67 Lincoln St , Essex Junction VT 05452-3235. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, which is considered as the primary health care specialty. Champlain Sports Medicine Pc can be contacted via phone (802) 878-1003, or through Johansson, John Russell via phone (802) 878-1003.

Contact Information

Primary practice address
67 Lincoln St Essex Junction VT 05452-3235
Phone: (802) 878-1003
Fax: (802) 878-9966
Website:
Map and Directions
Authorized official contact:
Name: Johansson, John Russell Doctor of Osteopathy (DO)
Phone: (802) 878-1003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 0320000304 Vermont

Profile Details

NPI number 1518106491
LBN Legal business name Champlain Sports Medicine Pc
DBA Doing business as
Authorized official Johansson, John Russell Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2009
Last updated Jun 13th, 2017 - about 7 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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