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Contact Information

TERENCE L CHAMPLIN, MD
955 CAROLYN LANE
CONWAY, AR72034-5015
 Phone: 501-327-2444
 Fax: 501-327-2443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TERENCE L CHAMPLIN · (Male)

NPI Number 1285612671
Status Active
Credentials MD
Entity Individual
Enumeration date 01/05/2006
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # C7675
  • AR Medicaid 121809001
  • AR Other 5K536 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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