Champney, Keith J

Champney, Keith J is an sole proprietor health care provider with primary practice located at 117 Crosby Street Ext , Haverhill MA 01830-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Champney, Keith J can be contacted via phone (978) 469-0649.

Contact Information

Primary practice address
117 Crosby Street Ext Haverhill MA 01830-2207
Phone: (978) 469-0649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 60080 Massachusetts

Profile Details

NPI number 1386790228
LBN Legal business name Champney, Keith J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386790228 NPPES
Massachusetts MEDICAID 3039749
Massachusetts Other J07579

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