Weeks, David Champ

Weeks, David Champ is an individual health care provider with primary practice located at 1340 Broad Ave Suite 210, Gulfport MS 39501-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Weeks, David Champ can be contacted via phone (228) 575-1600.

Contact Information

Primary practice address
1340 Broad Ave Suite 210 Gulfport MS 39501-2404
Fax: (228) 575-1603
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20900 Mississippi

Profile Details

NPI number 1548285968
LBN Legal business name Weeks, David Champ
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 11th, 2014 - about 10 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 1548285968 NPPES
Mississippi MEDICAID 06277746

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