Justin Champagne in Waterbury - Physician Assistant
Justin Champagne - NPI 1073697108
Justin Champagne is a Physician Assistant in Waterbury, Connecticut. Justin Champagne practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Justin Champagne is 1073697108. The last update date is 2012-01-12.
Justin Champagne's current location address is 134 Grandview Ave, Waterbury, Connecticut. You can contact this provider via phone number 2037568911 and fax number 2035740548. The mailing address for Justin Champagne is 134 Grandview Ave, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Champagne |
|---|---|
| Address | 134 Grandview Ave, Waterbury, Connecticut |
| Phone Number | 2037568911 |
| Fax Number | 2035740548 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073697108 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2012-01-12 |
Provider Mailing Address Detail
| Address | 134 Grandview Ave |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67082507 |
| Phone Number | 2037568911 |
| Fax Number | 2035740548 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1721 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Justin Champagne by the Centers for Medicare & Medicaid Services?
The Justin Champagne has been issued the NPI (National Provider Identifier) 1073697108 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Justin Champagne is located?
The Justin Champagne is situated at the following address: 134 Grandview Ave, Waterbury, CT, 67082507.
Could you kindly provide the complete physical address where Justin Champagne's facilities are geographically located?
The facilities of Justin Champagne are physically situated at the following location: 134 Grandview Ave, Waterbury, CT, 67082507.
What is Justin Champagne's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Justin Champagne's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
As of what date was the information regarding Justin Champagne, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Justin Champagne, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-12.