Champlin, Terence L
Champlin, Terence L is an sole proprietor health care provider with primary practice located at 605 Salem Rd Suite B2, Conway AR 72034-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Champlin, Terence L can be contacted via phone (501) 327-2444.Contact Information
Primary practice address
605 Salem Rd Suite B2
Conway AR 72034-4861
Phone: (501) 327-2444
Fax: (501) 327-2443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C7675 | Arkansas |
Profile Details
| NPI number | 1285612671 |
|---|---|
| LBN Legal business name | Champlin, Terence L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Apr 18th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285612671 | NPPES |
| Arkansas | MEDICAID | 121809001 | |
| Arkansas | Other | 5K536 |
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