Roundtree, Laurie Champagne
Roundtree, Laurie Champagne is an individual health care provider with primary practice located at 101 Hodencamp Rd Ste 100, Thousand Oaks CA 91360-5831. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Roundtree, Laurie Champagne can be contacted via phone (805) 495-0516.Contact Information
Primary practice address
101 Hodencamp Rd Ste 100
Thousand Oaks CA 91360-5831
Phone: (805) 495-0516
Fax: (805) 381-9366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT4513 | California |
Profile Details
| NPI number | 1093710279 |
|---|---|
| LBN Legal business name | Roundtree, Laurie Champagne |
| Credentials | OTR/L, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Oct 14th, 2009 - about 15 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 | 1093710279 | NPPES |
| California | Other | 4484430001 | DMERC |
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