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Contact Information

CHAMPION UROLOGY LTD
35 WELLS STREET
WESTERLY, RI02891
 Phone: 401-596-0964
 Fax: 401-596-8634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for CHAMPION UROLOGY LTD · (Female)

NPI # 1013925965
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2006
Last updated 04/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 040289
  • RI License # 10831
  • RI License # 7511
  • CT Medicaid 003114204
  • RI Medicaid CU43922
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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