Champouillon, Ryder J.
Champouillon, Ryder J. is an individual health care provider with primary practice located at 166 Bergen St , Port Jefferson Station NY 11776-1910. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Champouillon, Ryder J. can be contacted via phone (631) 629-5433.Contact Information
Primary practice address
166 Bergen St
Port Jefferson Station NY 11776-1910
Phone: (631) 629-5433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 003573-1 | New York |
Profile Details
| NPI number | 1265763072 |
|---|---|
| LBN Legal business name | Champouillon, Ryder J. |
| Credentials | MSOM, L.AC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2010 |
| Last updated | Aug 9th, 2013 - about 11 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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