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Contact Information

RICHARD F CHAMPOUX, (PMH) CNS - BC
151 SOUTH STREET
ASR
CUMMINGTON, MA01026
 Phone: 800-258-1770
 Fax: 413-634-5379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for RICHARD F CHAMPOUX · (Male)

NPI Number 1902893910
Status Active
Credentials (PMH) CNS - BC
Entity Individual
Enumeration date 10/04/2005
Last updated 09/08/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 193661
  • MA Medicaid 1892681
  • MA Other PN0760 BLUE CROSS/BS
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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