Champoux, Richard F
Champoux, Richard F is an sole proprietor health care provider with primary practice located at 151 South Street Asr, Cummington MA 01026. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Champoux, Richard F can be contacted via phone (800) 258-1770.Contact Information
Primary practice address
151 South Street Asr
Cummington MA 01026
Phone: (800) 258-1770
Fax: (413) 634-5379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 193661 | Massachusetts |
Profile Details
| NPI number | 1902893910 |
|---|---|
| LBN Legal business name | Champoux, Richard F |
| Credentials | (PMH) CNS - BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Sep 8th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902893910 | NPPES |
| Massachusetts | MEDICAID | 1892681 | |
| Massachusetts | Other | PN0760 |
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