Champlin, Jay Ellworth
Champlin, Jay Ellworth is an individual health care provider with primary practice located at 5230 Centre Ave , Pittsburgh PA 15232-1304. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Champlin, Jay Ellworth can be contacted via phone (412) 623-2465.Contact Information
Primary practice address
5230 Centre Ave
Pittsburgh PA 15232-1304
Phone: (412) 623-2465
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD2019-0524 | New Mexico |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD2019-0524 | New Mexico |
Profile Details
NPI number | 1407199540 |
---|---|
LBN Legal business name | Champlin, Jay Ellworth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2013 |
Last updated | Aug 15th, 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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