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Contact Information

RAYMOND J CHAMPAGNE II, M.ED., LAT, ATC
PENN STATE SPORTS MEDICINE
109 LASCH BUILDING
UNIVERSITY PARK, PA16802
 Phone: 985-860-2876
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for RAYMOND J CHAMPAGNE II · (Male)

NPI # 1083192496
Status Active
Credentials M.ED., LAT, ATC
Entity Individual
Enumeration date 07/30/2018
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
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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